ST MARYS HLTH SVCS (NPI# 1902002264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902002264 |
| Entity Type | Organization |
| Organization Name | ST MARYS HLTH SVCS |
| Other Organization Name | MCAULEY CLINIC |
| Practice Address |
245 Cherry St Se Ste 306 Grand Rapids MI 49503-4607 |
| Mailing Address |
245 State St Se Ste 1a Grand Rapids MI 49503-4328 |
| Practice Telephone | 6169138200 |
| Mailing Telephone | 6169131808 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PHILIP H MCCORKLE JR. (CEO) |
| Authorized Official Telephone | 6169131808 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| McAuley Clinic | Other Name - Individual/Organization |
| Street Address |
245 CHERRY ST SE STE 306 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768820 | Stacyann Steen | Family Medicine | 245 Cherry St Se, Ste 100, Grand Rapids, MI 49503 | 2005-08-23 |
| 1831691138 | Douglas Craig Sjoerdsma Jr. | Physical Therapist | 245 Cherry St Se, Grand Rapids, MI 49503-4607 | 2018-03-02 |
| 1821537143 | Malorie Venlet | Social Worker | 245 Cherry St Se, Suite 200, Grand Rapids, MI 49503-4607 | 2017-02-20 |
| 1902275506 | Margaret Vandewater | Nurse Practitioner | 245 Cherry St Se, Suite 100, Grand Rapids, MI 49503-4607 | 2015-09-24 |
| 1356764674 | Hackley Healthcare Equipment | Durable Medical Equipment & Medical Supplies | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2014-01-22 |
| 1649601295 | Shanna Henderson | Physician Assistant | 245 Cherry St Se, Ste 200, Grand Rapids, MI 49503-4607 | 2013-12-09 |
| 1417208463 | Stephanie Dora Smith | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-09-29 |
| 1427303452 | Mary Jo Richard | Nurse Practitioner | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2012-07-16 |
| 1134483340 | Crystal Ann Zilo | Obstetrics & Gynecology | 245 Cherry St Se, Ste 306, Grand Rapids, MI 49503-4607 | 2012-07-02 |
| 1982991683 | Aileen Elizabeth M Ampil Antonio | Ophthalmology | 245 Cherry St Se, Suite 204, Grand Rapids, MI 49503-4607 | 2011-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730471368 | Justin L Shields | Clinic/Center | 25 Michigan St Ne Ste 5100, Grand Rapids, MI 49503-2572 | 2011-05-16 |
| 1902002272 | Trinity Health - Michigan | Clinic/Center | 359 S Division Ave, Grand Rapids, MI 49503 | 2007-06-25 |
| 1811427826 | Catherine's Health Center | Clinic/Center | 1211 Lafayette Ave Ne, Grand Rapids, MI 49505-5092 | 2017-06-13 |
| 1962933416 | Trinity Health-michigan | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2017-03-27 |
| 1023558533 | Cherry Health | Clinic/Center | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2017-03-02 |
| 1154584373 | Trinity Health - Michigan | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2008-07-08 |
| 1508063561 | Saint Mary's Health Services | Clinic/Center | 730 Grandville Ave Sw, Grand Rapids, MI 49503-4920 | 2007-07-02 |
| 1417154477 | St Mary's Hlth Svcs | Clinic/Center | 359 Division Ave S, Grand Rapids, MI 49503-4537 | 2007-07-02 |
| 1710182431 | Professional Financial Services | Clinic/Center | 1246 Madison Ave Se, Grand Rapids, MI 49507-1761 | 2007-06-21 |
| 1447456173 | Trinity Health- Michigan | Clinic/Center | 310 Lafayette Ave Se, Ste 410, Grand Rapids, MI 49503-4693 | 2007-06-21 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on ST MARYS HLTH SVCS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.