Organization
CHCC GRAND RAPIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN GARRY (DIRECTOR/OFFICER)
(248) 719-0388
Entity
Organization
Contact information
Practice address
2984 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 317-8995
Mailing address
2984 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 317-8995
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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