Organization
ST MARYS HLTH SVCS
Active
Organization
ST MARYS HLTH SVCS
Active
Other names
McAuley Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H MCCORKLE JR. (CEO)
(616) 913-1808
Entity
Organization
Contact information
Practice address
245 CHERRY ST SE, STE 306, GRAND RAPIDS, MI 49503-4607
(616) 913-8200
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
06/25/2007
Last updated
08/22/2020
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