NPI | 1508063561 |
---|---|
Other Name | CLINICA SANTA MARIA |
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 | 2008-06-18 |