Sedara Mae Healthcare Clinic, LLC
NPI 1265875892 · Community Health Clinic/Center · Grand Rapids, MI
Sedara Mae Healthcare Clinic, LLC is a Community Health Clinic/Center organization in Grand Rapids, MI (NPI 1265875892).
Provider details
- NPI number
- 1265875892
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Lucas, Practitioner(800) 363-4661
- License
- 4704237090 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2013-04-25
Frequently asked questions
- What is Sedara Mae Healthcare Clinic, LLC's NPI number?
- Sedara Mae Healthcare Clinic, LLC's National Provider Identifier (NPI) is 1265875892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sedara Mae Healthcare Clinic, LLC?
- Sedara Mae Healthcare Clinic, LLC is classified in the NPPES registry as Community Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sedara Mae Healthcare Clinic, LLC located?
- Sedara Mae Healthcare Clinic, LLC's practice location on file with NPPES is 1167 Madison Ave Se, Grand Rapids, MI 49507-1200.
- What is Sedara Mae Healthcare Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Sedara Mae Healthcare Clinic, LLC is (616) 301-1020.
- Who is the authorized official for Sedara Mae Healthcare Clinic, LLC?
- The authorized official listed on Sedara Mae Healthcare Clinic, LLC's NPPES record is Lisa Lucas, Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sedara Mae Healthcare Clinic, LLC's NPI active?
- Yes — Sedara Mae Healthcare Clinic, LLC's NPI (1265875892) is active in the NPPES registry as of the last update on 2013-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.