Heartside Health Clinic | |
359 S Division Ave Grand Rapids MI 49503 | |
(616) 685-3800 | |
(616) 235-0913 |
Full Name | Heartside Health Clinic |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 359 S Division 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 |
---|---|
Heartside Health Clinic 245 State St Se Ste 1a Grand Rapids MI 49503 Ph: (616) 685-8050 | Heartside Health Clinic 359 S Division Ave Grand Rapids MI 49503 Ph: (616) 685-3800 |
NPI Number | 1902002272 |
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Provider Enumeration Date | 06/25/2007 |
Last Update Date | 01/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902002272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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