Organization
SAINT MARY'S HEALTH SERVICES
Active
Other names
Clinica Santa Maria
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H MCCORKLE JR. (CEO)
(616) 913-1808
Entity
Organization
Contact information
Practice address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 913-8400
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503-4328
(616) 913-1808
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/02/2007
Last updated
06/18/2008
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