SAINT MARY'S HEALTH SERVICES NPI 1508063561

NPI Information

NPI: 1508063561
Provider Name: SAINT MARY'S HEALTH SERVICES

Other Name: CLINICA SANTA MARIA

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 913-8400
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SAINT MARY'S HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Grand Rapids, MI. SAINT MARY'S HEALTH SERVICES NPI is 1508063561. The provider is registered as an organization entity type.
The provider Other Name Is Clinica Santa Maria.

The provider's business location address is:

730 GRANDVILLE AVE SW
GRAND RAPIDS, MI
ZIP 49503-920
Phone: (616) 913-8400

The provider's authorized official is Philip H Mccorkle .
The authorized official title is Ceo and has the following contact phone number (616) 913-1808.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 6/18/2008.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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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