NPIMap

Organization Active NPI

Advantage Health/Saint Mary's Medical Group

Doing business as Trinity Health Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1376862151
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
Doing business as
Trinity Health Medical Group
Practice address
245 State St SE
Grand Rapids, MI 49503-4328
Phone
(616) 685-8050
Fax
(616) 685-1850
NPI assigned
May 19, 2010
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Green
Title
VP Finances GR
Phone
(616) 685-6709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

245 State St SE
Grand Rapids, MI 49503-4328

Mailing address

PO Box 776974
Chicago, IL 60677-6974
Phone (800) 494-5797

Other practice location 1

2373 64th St SW
Byron Center, MI 49315-7974
Phone (616) 685-8750

Other names 1

  • Trinity Health Medical Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101023000279 MI Part B Supplier - Clinic/Group Practice 4082807961 Receives reassigned benefits from 897 practitioners
6 other NPIs on this enrollment
Practice locations: Grand Rapids, MI; Grandville, MI; Hudsonville, MI; Jenison, MI; Kentwood, MI; Rockford, MI; Sparta, MI; Walker, MI…

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

245 State St SE
Grand Rapids, MI 49503
Phone (616) 685-1808

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

7782 20th Ave
Jenison, MI 49428
Phone (616) 685-8700

2080 44th St SE
Kentwood, MI 49508
Phone (616) 685-8100

6050 Northland Dr NE
Ste 200
Rockford, MI 49341
Phone (616) 685-8350

Practitioners & affiliated clinicians

Practitioners 904

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 904

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1376862151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776974",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776974",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034328",
            "telephone_number": "616-685-8050",
            "fax_number": "616-685-1850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2373 64th St SW",
            "address_purpose": "LOCATION",
            "city": "Byron Center",
            "state": "MI",
            "postal_code": "493157974",
            "country_code": "US",
            "telephone_number": "616-685-8750",
            "fax_number": "616-685-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP FINANCES GR",
        "authorized_official_telephone_number": "616-685-6709"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Trinity Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.