ST MARY'S HLTH SVCS


Address: 359 Division Ave S, Grand Rapids, MI 49503-4537
Phone: 6166433800

ST MARY'S HLTH SVCS (NPI# 1417154477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417154477
Entity Type Organization
Organization Name ST MARY'S HLTH SVCS
Other Organization Name HEARTSIDE CLINIC
Practice Address 359 Division Ave S
Grand Rapids
MI 49503-4537
Mailing Address 245 State St Se
Ste 1a
Grand Rapids
MI 49503-4328
Practice Telephone 6166433800
Mailing Telephone 6169131808
Enumeration Date 2007-07-02
Last Update Date 2020-08-22
Authorized Official Name PHILIP H MCCORKLE JR. (CEO)
Authorized Official Telephone 6169131808
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Heartside Clinic Other Name - Individual/Organization

Office Location

Street Address 359 DIVISION AVE S
City GRAND RAPIDS
State MI
Zip Code 49503-4537

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427000231 Kristen Kitzsteiner Internal Medicine 359 Division Ave S, Grand Rapids, MI 49503-4537 2006-05-17
1366822553 Michael Terrell Physical Therapist 359 Division Ave S, Grand Rapids, MI 49503-4537 2015-06-03
1699198119 Joanne Trembley Physician Assistant 359 Division Ave S, Grand Rapids, MI 49503-4537 2014-02-04
1144660200 Jean Christiana Marion Talsma Internal Medicine 359 Division Ave S, Grand Rapids, MI 49503-4537 2013-07-03
1336487255 Sandra K Dettmann 359 Division Ave S, Grand Rapids, MI 49503 2013-01-28
1902160385 Benjamin D Willenbring Family Medicine 359 Division Ave S, Grand Rapids, MI 49503-4537 2012-06-29
1659635647 Paul Michael Kiger Counselor 359 Division Ave S, Grand Rapids, MI 49503-4537 2012-06-25
1417115395 Brittany Christine Brouwer Occupational Therapist 359 Division Ave S, Grand Rapids, MI 49503-4537 2008-05-28
1841482791 Jacques Dewayne Green Counselor 359 Division Ave S, Grand Rapids, MI 49503-4537 2007-08-15
1073566071 Pamela Wirth Family Medicine 359 Division Ave S, Grand Rapids, MI 49503-4537 2006-05-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801496195 Airway Oxygen, Inc. Durable Medical Equipment & Medical Supplies Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 2020-10-27
1730707282 Adriana Molina-schmuker Counselor 901 Eastern Avenue Ne, Grand Rapids, MI 49503 2020-07-10
1477176949 Kimberly Buskirk Specialist 1131 Ionia Ava Nw, Grand Rapids, MI 49503 2020-05-19
1124647805 Jared Host Speech-Language Pathologist Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 2020-04-13
1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
1184182883 April L Kaiserlian Social Worker 983 Spaulding Ave Ne, Ada, MI 49503 2019-03-12
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730471368 Justin L Shields Clinic/Center 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 2011-05-16
1902002272 Trinity Health - Michigan Clinic/Center 359 S Division Ave, Grand Rapids, MI 49503 2007-06-25
1811427826 Catherine's Health Center Clinic/Center 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 2017-06-13
1962933416 Trinity Health-michigan Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2017-03-27
1023558533 Cherry Health Clinic/Center 100 Cherry St Se, Grand Rapids, MI 49503-4526 2017-03-02
1154584373 Trinity Health - Michigan Clinic/Center 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 2008-07-08
1508063561 Saint Mary's Health Services Clinic/Center 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 2007-07-02
1902002264 St Marys Hlth Svcs Clinic/Center 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 2007-06-25
1710182431 Professional Financial Services Clinic/Center 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 2007-06-21
1447456173 Trinity Health- Michigan Clinic/Center 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 2007-06-21
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Competitor

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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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