ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP NPI 1376862151

NPI Information

NPI: 1376862151
Provider Name: ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
245 STATE ST SE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 685-8050
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ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP is a multi-specialty clinic center in Grand Rapids, MI. ADVANTAGE HEALTH/SAINT MARY'S MEDICAL GROUP NPI is 1376862151. The provider is registered as an organization entity type.

The provider's business location address is:

245 STATE ST SE
GRAND RAPIDS, MI
ZIP 49503-328
Phone: (616) 685-8050
Fax: (616) 685-1850

The provider's authorized official is David Blair .
The authorized official title is Md/cmo and has the following contact phone number (616) 685-1808.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 2/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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