1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Clinic Center
  6. NPI Profile

HEARTSIDE CLINIC
NPI 1417154477
Clinic/Center - Federally Qualified Health Center (FQHC) in Grand Rapids, MI

Active since July 02, 2007
359 DIVISION AVE S, GRAND RAPIDS, MI 49503(616) 643-3800 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heartside Clinic NPPES

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

HEARTSIDE CLINIC (NPI 1417154477) is a healthcare organization registered as a federally qualified health center (fqhc) in Grand Rapids, Michigan and active in the NPI registry since July 2007. The organization lists Philip H Mccorkle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417154477
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameST MARY'S HLTH SVCS
Location Address359 DIVISION AVE SGrand Rapids, MI 49503-4537
Mailing Address245 State St Se, Ste 1aGrand Rapids, MI 49503-4328 · (616) 913-1808
Phone(616) 643-3800
Organization SubpartNo
Authorized OfficialPhilip H MccorkleCeo · (616) 913-1808
Enumeration DateJuly 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1417154477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
359 DIVISION AVE S, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Other NameHeartside Clinic

Other Providers at the Same Location NPPES 5

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

BRITTANY CHRISTINE BROUWER MA, OTR
Occupational Therapist
359 DIVISION AVE S
GRAND RAPIDS, MI 49503
Kent County (616) 685-3800
KRISTEN KITZSTEINER MD
Internal Medicine
359 DIVISION AVE S
GRAND RAPIDS, MI 49503
Kent County (616) 685-3800
MR. PAUL MICHAEL KIGER LMSW, CAADC
Counselor
359 DIVISION AVE S
GRAND RAPIDS, MI 49503
Kent County (616) 685-3800
MR. JACQUES DEWAYNE GREEN LMSW
Social Worker (Clinical)
359 DIVISION AVE S
GRAND RAPIDS, MI 49503
Kent County (616) 685-3800
BENJAMIN D WILLENBRING MD
Family Medicine
359 DIVISION AVE S
GRAND RAPIDS, MI 49503
Kent County (616) 685-3800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Mary's Hlth Svcs's NPI number?

The NPI number for St Mary's Hlth Svcs is 1417154477. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is also known as Heartside Clinic.

Where is St Mary's Hlth Svcs located?

St Mary's Hlth Svcs is located at 359 Division Ave S, Grand Rapids, MI 49503. The listed phone number is (616) 643-3800.

What is St Mary's Hlth Svcs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for St Mary's Hlth Svcs was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.