NPIMap

Organization Active NPI

Trinity Health - Michigan

Doing business as Heartside Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
National Provider Identifier
1902002272
Registry record updated May 4, 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
Heartside Health Clinic
Practice address
359 S Division Ave
Grand Rapids, MI 49503
Phone
(616) 685-3800
Fax
(616) 235-0913
NPI assigned
Jun 25, 2007
Last updated
May 4, 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 4, 2026

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

Authorized official

Name
Ariana Grace Raymond
Title
Manager Provider Enrollment
Phone
(734) 343-1466

Specialties & licenses 1

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

Addresses

Primary practice location

359 S Division Ave
Grand Rapids, MI 49503

Mailing address

245 State St SE
Ste 1a
Grand Rapids, MI 49503
Phone (616) 685-8050

Other names 1

  • Heartside Health Clinic 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

National Provider Directory

National Provider Directory
Tax ID family
Fam Med SVS of St Lawre18 organizations share this tax ID, including this one
Part of
Fam Med SVS of St Lawre

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 Cherry St SE
Ste 306
Grand Rapids, MI 49503
Phone (616) 685-8750

260 Jefferson Ave SE
#207
Grand Rapids, MI 49503
Phone (616) 752-5400

260 Jefferson Ave SE
Ste 206
Grand Rapids, MI 49503
Phone (616) 752-5432

300 Lafayette Ave SE
#2014
Grand Rapids, MI 49503
Phone (616) 752-6923

300 Lafayette Ave SE
#2045
Grand Rapids, MI 49503
Phone (616) 685-3098

300 Lafayette Ave SE
#3000
Grand Rapids, MI 49503
Phone (616) 685-6919

300 Lafayette Ave SE
#3200
Grand Rapids, MI 49503
Phone (616) 752-6920

300 Lafayette Ave SE
#4000
Grand Rapids, MI 49503
Phone (616) 685-6922

300 Lafayette Ave SE
#4200
Grand Rapids, MI 49503
Phone (616) 752-6919

300 Lafayette Ave SE
#4400
Grand Rapids, MI 49503
Phone (616) 752-5170

309 Jefferson Ave SE
Ste 3
Grand Rapids, MI 49503
Phone (616) 685-1430

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

310 Lafayette Ave SE
Ste 320
Grand Rapids, MI 49503
Phone (616) 752-5900

359 Division Ave S
Grand Rapids, MI 49503
Phone (616) 643-3800

Practitioners & affiliated clinicians

Practitioners 165

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 165

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1902002272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STATE ST SE",
            "address_2": "STE 1A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-685-8050",
            "fax_number": "616-685-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 S DIVISION AVE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "616-685-3800",
            "fax_number": "616-235-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH - MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH - MICHIGAN",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "734-343-1466"
    },
    "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": "Heartside Health Clinic",
            "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 May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.