NPI | 1902002264 |
---|---|
Other Name | MCAULEY 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 | 2007-06-25 |
Last Update Date | 2020-08-22 |