| NPI | 1417154477 |
|---|---|
| Other Name | HEARTSIDE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PHILIP H MCCORKLE CEO 616-913-1808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |