NPIMap

Organization Active NPI

Catherine'S Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
National Provider Identifier
1407742018
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CATHERINE'S HEALTH CENTER
Practice address
1440 Davis Ave NW RM 100
Grand Rapids, MI 49504-3112
Phone
(616) 336-8800
NPI assigned
Jun 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Sara Brooks
Title
Coo
Phone
(616) 336-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1440 Davis Ave NW RM 100
Grand Rapids, MI 49504-3112

Mailing address

950 36TH St SW
Wyoming, MI 49509-3587
Phone (616) 336-8800

Other names 1

  • Catherine's Health Center Harrison Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104004385 MI Part A Provider - Federally Qualified Health Center (FQHC) 2860615838 Practice locations: Grand Rapids, MI

Federally qualified health center certification: CCN C71050

Legal name
CATHERINE'S HEALTH CENTER
Doing business as
CATHERINE'S HEALTH CENTER HARRISON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 13, 2025
Last certification
Nov 13, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
1440 Davis Ave NW
RM 100
Grand Rapids, MI 49504-3112

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2331914Catherine'S Health Center Harrison1440 Davis Avenue NW Room 100, Grand Rapids, MI 49504Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Catherines Health Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

781 36th St SE
Ste B
Grand Rapids, MI 49548
Phone (606) 828-0052

100 60th St SE
Rm E3
Grand Rapids, MI 49548

1440 Davis Ave NW
Rm 100
Grand Rapids, MI 49504

2674 44th St SE
Kentwood, MI 49512

950 36th St SW
Wyoming, MI 49509
Phone (616) 320-0405

280 60th St SE
Wyoming, MI 49548
Phone (616) 483-0750

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kenneth S Johnson Individual Corporate Officer Jan 1, 2023
Yvonne George Individual Corporate Officer Jan 1, 2023
Sara Brooks Individual W-2 Managing EmployeeChief Operating Officer Oct 4, 2021
Dustin Maynes Individual W-2 Managing EmployeeChief Financial Officer Jan 1, 2021
Adrienne Goodstal Individual Corporate Officer Jan 1, 2023
Allison Shook Individual W-2 Managing EmployeeDevelopment Director Jan 1, 2022
Cole Sweda Individual Corporate Officer Jan 1, 2024
Jade Kennedy Individual Corporate Officer Jan 1, 2026
Catherine Kelly Individual Corporate Officer Jan 1, 2023
Zandra Vazquez Individual Corporate Officer Jan 1, 2026
Megan Erskine Individual Corporate OfficerCeo Apr 12, 2022 100%
W-2 Managing Employee Apr 12, 2022
Mark a Contreras Individual W-2 Managing EmployeeMD; Jan 1, 2021
William Williams Individual Corporate Officer Jan 1, 2023
Andrea Cosier Individual Corporate Officer Jan 1, 2023
Alisha Davis Individual Corporate Officer Jan 1, 2023
Rick Schuitema Individual Corporate Officer Jan 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Catherine'S Health Dental CenterGrand Rapids, MI, CCN 231163 Federally qualified health center Operational/Managerial Control (100%) Aug 11, 2005
Catherine'S Health Center - Mel TrotterGrand Rapids, MI, CCN C71009 Federally qualified health center Operational/Managerial Control (100%) Nov 8, 2023
Catherine'S Health Center - CrossroadsGrand Rapids, MI, CCN C71013 Federally qualified health center Operational/Managerial Control (100%) Dec 29, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1407742018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 36TH ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495093587",
            "telephone_number": "616-336-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DAVIS AVE NW RM 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043112",
            "telephone_number": "616-336-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "616-336-8800"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catherine's Health Center Harrison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.