Heartside Clinic

LBN: St Mary'S Hlth Svcs
Heartside Clinic is an health care organization with primary practice located at 359 Division Ave S , Grand Rapids MI 49503-4537. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. St Mary'S Hlth Svcs can be contacted via phone (616) 643-3800, or through Mccorkle, Philip H via phone (616) 913-1808.

Contact Information

Primary practice address
359 Division Ave S Grand Rapids MI 49503-4537
Phone: (616) 643-3800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccorkle, Philip H
Phone: (616) 913-1808

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1417154477
LBN Legal business name St Mary'S Hlth Svcs
DBA Doing business as Heartside Clinic
Authorized official Mccorkle, Philip H
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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