CLINICA SANTA MARIA
NPI 1285830448
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since June 25, 2007
730 GRANDVILLE AVE, GRAND RAPIDS, MI 49503(616) 685-8400(616) 742-1322 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Clinica Santa Maria NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA SANTA MARIA (NPI 1285830448) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since June 2007. The organization lists Philip H Mccorkle, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1285830448
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePROFESSIONAL FINANCIAL SERVICES
Location Address730 GRANDVILLE AVEGrand Rapids, MI 49503
Mailing Address245 State St Se, Ste 1aGrand Rapids, MI 49503 · (616) 685-8050 · Fax (616) 685-1850
Fax(616) 742-1322
Organization SubpartYesParent: Trinity Health - Michigan
Authorized OfficialPhilip H MccorklePresident Ceo · (616) 685-1808
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 9, 2010
NPI 1285830448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
730 GRANDVILLE AVE, Grand Rapids, MI 49503

Other Names 1

Doing Business AsClinica Santa Maria

Other Identifiers 2

Medicare OSCAR/certification231905MI
Medicare PIN0P32930

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
730 GRANDVILLE AVE
GRAND RAPIDS, MI 49503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285830448, enumerated as an "organization" on June 25, 2007.

The provider is located at 730 GRANDVILLE AVE GRAND RAPIDS, MI 49503 and the phone number is (616) 685-8400.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.