Organization · Type 2 NPI

ST Marys HLTH SVCS

Federally Qualified Health Center (FQHC) · Grand Rapids, MI

NPI number 1902002264 Active

Practice location

245 Cherry St SE, Ste 306
Grand Rapids, MI 49503-4607

Call (616) 913-8200 Map

Mailing address

245 State St SE, Ste 1A
Grand Rapids, MI 49503-4328

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1902002264

ST Marys HLTH SVCS's National Provider Identifier is 1902002264, issued on Jun 25, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 22, 2020.