| NPI | 1285830448 |
|---|---|
| Doing Business As | CLINICA SANTA MARIA |
| Entity Type | Organization |
| Authorized Contact | PHILIP H MCCORKLE President CEO 616-685-1808 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2010-07-09 |