St Mary'S Hlth Svcs in Grand Rapids - Federally Qualified Health Center (fqhc)

St Mary'S Hlth Svcs - NPI 1417154477

St Mary'S Hlth Svcs is a Federally Qualified Health Center (fqhc) in Grand Rapids, Michigan. St Mary'S Hlth Svcs practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for St Mary'S Hlth Svcs is 1417154477. The last update date is 2020-08-22.

St Mary'S Hlth Svcs's current location address is 245 State St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169131808. The mailing address for St Mary'S Hlth Svcs is 245 State St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization St Mary'S Hlth Svcs
Address 245 State St Se, Grand Rapids, Michigan
Phone Number 6169131808
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Mccorkle H Philip
Telephone Number 6169131808

NPI Number Detail

NPI Number 1417154477
Provider Enumeration Date 2007-07-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 245 State St Se
City Grand Rapids
State Michigan (MI)
Post Code 495034328
Phone Number 6169131808
Fax Number

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

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FAQs about St Mary'S Hlth Svcs

What is the unique 10-digit identifier code issued to St Mary'S Hlth Svcs by the Centers for Medicare & Medicaid Services?

The St Mary'S Hlth Svcs has been assigned the NPI (National Provider Identifier) 1417154477 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of St Mary'S Hlth Svcs?

The St Mary'S Hlth Svcs is situated at 245 State St Se, in the city of Grand Rapids, state of MI, with the zip code 495034328.

What is St Mary'S Hlth Svcs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The St Mary'S Hlth Svcs's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.

When did the St Mary'S Hlth Svcs receive its 1417154477?

The St Mary'S Hlth Svcs was issued its 1417154477 on 2007-07-02, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to St Mary'S Hlth Svcs, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to St Mary'S Hlth Svcs, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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