| NPI | 1588080030 |
|---|---|
| Doing Business As | TRINITY HEALTH MEDICAL GROUP PRIMARY CARE SHELBY |
| Entity Type | Organization |
| Authorized Contact | DANIEL GREEN Vice President Finance Grand Rapids 616-685-6709 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2024-10-10 |