Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sedara Mae Healthcare Clinic, LLC

Organization Community Health Clinic/Center · NPI 1265875892

Sedara Mae Healthcare Clinic, LLC is a Community Health Clinic/Center in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2013.

Licensed in
MI
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1167 Madison Ave SE Mailbox 5
Grand Rapids, MI 49507-1200
Phone: (616) 301-1020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X · Licence 4704237090 (MI)

Record details

NPI number1265875892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Lucas — Practitioner · (800) 363-4661
NPI enumeratedApril 12, 2013
Last updated in NPPESApril 25, 2013
Mailing addressPo Box 8862, Kentwood, MI 49518-8862