NPIMap

Organization Active NPI

Trinity Health Grand Haven Hospital

  • General Acute Care Hospital
  • Grand Haven, MI
National Provider Identifier
1942379284
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
700010 Issued in MI
Legal business name
TRINITY HEALTH GRAND HAVEN HOSPITAL
Practice address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone
(616) 842-3600
Fax
(616) 847-5621
NPI assigned
Nov 8, 2006
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
John FossNPI 1285680991
Title
Sr VP Operations
Phone
(231) 861-3029

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X 700010 MI Primary

Addresses

Primary practice location

1309 Sheldon Rd
Grand Haven, MI 49417-2404

Mailing address

1309 Sheldon Rd
Grand Haven, MI 49417-2404
Phone (616) 842-3600

Other identifiers 3

IdentifierTypeStateIssuer
00162OtherMIBLUE CROSS
14578OtherMIPRIORITY HEALTH
301557130MedicaidMI

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 MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100719000247 MI Part A Provider - Hospital 0648180794 Practice locations: Grand Haven, MI
O20121113000460 MI Part B Supplier - Clinic/Group Practice 0648180794 Receives reassigned benefits from 45 practitioners
Practice locations: Grand Haven, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942379284. Details of each certification follow.

Hospital certification: CCN 230174

Legal name
TRINITY HEALTH GRAND HAVEN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1968
Last certification
Feb 2, 2017
Beds
81
Ownership / control type
Hospital district or authority
Organization structure
CorporationNon-profit
Enrollment address
1309 Sheldon Rd
Grand Haven, MI 49417-2404
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Trinity Health Grand Haven HospitalCCN 230174 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1061 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (616) 846-2015

1310 Wisconsin St
Ste 204
Grand Haven, MI 49417
Phone (616) 844-4523

1310 Wisconsin St
Ste 301
Grand Haven, MI 49417
Phone (616) 296-1550

1445 Sheldon Rd
Ste 301
Grand Haven, MI 49417
Phone (616) 844-4701

1445 Sheldon Rd
Ste G2
Grand Haven, MI 49417
Phone (616) 844-4502

Ownership & related parties

All disclosed owners & managing parties 20

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 Jan 1, 2025
Edmund F Hodge Individual Corporate DirectorBoard Member Jan 1, 2025
Spencer T Maidlow Individual Corporate DirectorBoard Member Jan 1, 2025
Michael Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Linda J Werthman Individual Corporate DirectorBoard Member Jan 1, 2025
Sara Dolan Individual Corporate DirectorBoard Member Jan 1, 2025
Suzanne Mellon Individual Corporate DirectorBoard Member Jan 1, 2025
Paula Chermside Individual Corporate DirectorBoard Member Jan 1, 2026
Mercy Health Partners Organization, Muskegon, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2022 100%
Shannon Striebich Individual Corporate OfficerPresident and Ceo Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Michael P Gusho Individual Corporate OfficerCfo & Treasurer Apr 30, 2024
Joseph Fleck Individual Corporate DirectorBoard Member Jan 1, 2026
Trinity Health-Michigan Organization, Livonia, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 1, 2022 100%
Daniel G Green Individual Operational/Managerial ControlExecutive With Control Apr 30, 2024
Christian Schafer Individual Corporate OfficerSecretary Jan 1, 2026
Eric C Ferguson Individual Corporate DirectorBoard Member Jan 1, 2025
Gary Edward Allore Individual Corporate OfficerPresident Apr 30, 2024
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Oct 1, 2022 100%
Jean M Nagelkerk Individual Corporate OfficerVice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
Wayman P Britt Individual Corporate OfficerBoard Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 157

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

View all 157

Practitioners & affiliated clinicians

Practitioners 50

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 50

Affiliated clinicians 236

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 236

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1942379284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-842-3600",
            "fax_number": "616-847-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 SHELDON RD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172404",
            "telephone_number": "616-842-3600",
            "fax_number": "616-847-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH GRAND HAVEN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "FOSS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SR VP OPERATIONS",
        "authorized_official_telephone_number": "231-861-3029"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "700010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00162",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "14578",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301557130",
            "state": "MI"
        }
    ],
    "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": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.