NPIMap

Organization Active NPI

Trinity Health-Michigan

Doing business as McAuley Health Center

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
National Provider Identifier
1447456173
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRINITY HEALTH-MICHIGAN
Doing business as
McAuley Health Center
Trinity Health Medical Group, McAuley Clinic - Grand Rapids Campus
Practice address
310 Lafayette Ave SE
Ste 410
Grand Rapids, MI 49503-4693
Phone
(616) 685-8200
NPI assigned
Jun 21, 2007
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY HEALTH-MICHIGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Matthew Paul Biersack
Title
President
Phone
(616) 685-6413

Specialties & licenses 1

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

Addresses

Primary practice location

310 Lafayette Ave SE
Ste 410
Grand Rapids, MI 49503-4693

Mailing address

310 Lafayette Ave SE Ste 410
Grand Rapids, MI 49503-4693
Phone (616) 685-8218

Other names 2

  • MCAULEY HEALTH CENTER Doing business as
  • Trinity Health Medical Group, McAuley Clinic - Grand Rapids Campus 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
O20200408004236 MI Part A Provider - Federally Qualified Health Center (FQHC) 7618878943 Practice locations: Grand Rapids, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447456173. Details of each certification follow.

Federally qualified health center certification: CCN 231888

Legal name
TRINITY HEALTH-MICHIGAN
Doing business as
TRINITY HEALTH MEDICAL GROUP, MCAULEY CLINIC - GRAND RAPIDS CAMPUS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 8, 2003
Last certification
Dec 8, 2003
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Enrollment address
310 Lafayette Ave SE
Ste 410
Grand Rapids, MI 49503-4693
Related CCNs
230059

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
St Johns Hospital18 organizations share this tax ID, including this one
Part of
St Johns Hospital

Other organizations with this tax ID 17

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

View all 17

Locations

245 State St SE
Ste 1A
Grand Rapids, MI 49503

310 Lafayette Ave SE
Ste 300
Grand Rapids, MI 49503
Phone (616) 685-3450

310 Lafayette Ave SE
Ste 415
Grand Rapids, MI 49503
Phone (616) 685-5666

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
William Morris Individual Corporate DirectorBoard Member Mar 1, 2022
Edmund F Hodge Individual Corporate DirectorBoard Member Jan 1, 2019
Spencer T Maidlow Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Linda J Werthman Individual Corporate DirectorBoard Member Jan 1, 2019
Sara Dolan Individual Corporate DirectorBoard Member Jan 1, 2025
Matthew P Biersack Individual Corporate OfficerPresident Aug 23, 2021
Operational/Managerial ControlPresident Aug 23, 2021
Suzanne Mellon Individual Corporate DirectorBoard Member Aug 3, 2021
Paula Chermside Individual Corporate DirectorBoard Member Jan 1, 2026
Shannon Striebich Individual Corporate OfficerPresident and Ceo Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2024
Michael P Gusho Individual Corporate OfficerRegional Cfo & Treasurer Jan 4, 2018
Operational/Managerial ControlRegional Cfo & Treasurer Jan 4, 2018
Joseph Fleck Individual Corporate DirectorBoard Member Jan 1, 2026
Robert F Casalou Individual Corporate OfficerExecutive VP, Associate Coo Jul 1, 2015
Christian Schafer Individual Corporate OfficerSecretary Jan 1, 2026
Eric C Ferguson Individual Corporate DirectorBoard Member Aug 3, 2021
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 24, 2020 100%
Jean M Nagelkerk Individual Corporate OfficerVice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2019
Wayman P Britt Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Mar 31, 2019

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 10

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

FacilityTypeRoleSince
Trinity Health Ann Arbor HospitalYpsilanti, MI, CCN 230156 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2000
Trinity Health Grand Rapids HospitalGrand Rapids, MI, CCN 230059 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2000
Trinity Health Psychiatry - Grand Rapids HospitalGrand Rapids, MI, CCN 23S059 Hospital 5% Or Greater Direct Ownership Interest (100%) May 1, 2000
Trinity Health Muskegon HospitalMuskegon, MI, CCN 230066 Hospital 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2008
Chelsea HospitalChelsea, MI, CCN 23T259 Hospital 5% Or Greater Direct Ownership Interest (51%)
Operational/Managerial Control		 Jul 1, 2018
Jul 1, 2018
Southridge Behavioral HospitalByron Center, MI, CCN 234052 Hospital 5% Or Greater Direct Ownership Interest (49%) May 28, 2025
Trinity Health Medical Group, Primary Care - WhitehallWhitehall, MI, CCN 238623 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2008
Trinity Health Medical Group, Primary Care - ShelbyShelby, MI, CCN 238624 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2008
Trinity Health Medical Group, Primary Care - LudingtonLudington, MI, CCN 238678 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2008
Trinity Health Medical Group, Primary Care - HartHart, MI, CCN 238627 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Apr 1, 2008

Owned or controlled facilities with NPI records 10

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

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1447456173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE STE 410",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-685-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LAFAYETTE AVE SE",
            "address_2": "STE 410",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034693",
            "telephone_number": "616-685-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH-MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH-MICHIGAN",
        "enumeration_date": "2007-06-21",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "BIERSACK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-685-6413"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "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": "MCAULEY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCAULEY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Trinity Health Medical Group, McAuley Clinic - Grand Rapids Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.