OrganizationActive
Advantage Health/Saint Mary'S Medical Group
NPI 1457863565 · Multi-Specialty Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1457863565
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Blair, Cmo(616) 685-1802
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
260 Jefferson Ave Se Ste 115
Grand Rapids, MI 49503-4597
Phone: (616) 685-3100
Fax: (616) 685-3111
Approximate (ZIP-level) locationGet directions
Mailing address
1900 44th St Se
Kentwood, MI 49508-5008
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2017-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.