| Clinica Santa Maria | |
|
730 Grandville Ave Grand Rapids MI 49503 | |
| (616) 685-8400 | |
| (616) 742-1322 |
| Full Name | Clinica Santa Maria |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 730 Grandville Ave, Grand Rapids, Michigan |
| Authorized Official Name and Position | Philip H Mccorkle (PRESIDENT CEO) |
| Authorized Official Contact | 6166851808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Santa Maria 245 State St Se Ste 1a Grand Rapids MI 49503 Ph: (616) 685-8050 | Clinica Santa Maria 730 Grandville Ave Grand Rapids MI 49503 Ph: (616) 685-8400 |
| NPI Number | 1285830448 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 07/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285830448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
W&w Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 43rd St Se, Suite C, Grand Rapids, MI 49508 Phone: 616-455-4108 | |
Karen A O Rourke Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4250 Kalamazoo Se Ste 1, Grand Rapids, MI 49508 Phone: 616-455-7930 Fax: 616-455-9952 | |
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Oral Surgery Associates, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2144 E Paris Ave Se Ste 150, Grand Rapids, MI 49546 Phone: 616-942-2000 Fax: 616-942-6805 | |
Eastern Dental Plc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2426 Burton St Se, Grand Rapids, MI 49546 Phone: 616-974-0991 Fax: 616-974-0920 | |
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