Organization
SAINT MARY'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP H MCCORKLE JR. (PRESIDENT AND CEO)
(616) 752-6090
Entity
Organization
Contact information
Practice address
250 CHERRY ST SE, LACK'S CANCER CENTER, GRAND RAPIDS, MI 49503-4608
(616) 752-5828
Mailing address
245 STATE ST SE, STE 1A, GRAND RAPIDS, MI 49503-4328
(616) 913-1808
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704235109
MI
Other
Enumeration date
10/04/2007
Last updated
12/05/2007
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