Organization
PROFESSIONAL FINANCIAL SERVICES
Active
Parent organization
TRINITY HEALTH - MICHIGAN
Other names
Clinica Santa Maria
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRINITY HEALTH - MICHIGAN
Authorized official
PHILIP H MCCORKLE JR. (PRESIDENT CEO)
(616) 685-1808
Entity
Organization
Contact information
Practice address
730 GRANDVILLE AVE, GRAND RAPIDS, MI 49503
(616) 685-8400
(616) 742-1322
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503
(616) 685-8050
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/25/2007
Last updated
07/09/2010
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