Active NPI
Professional Financial Services
Doing business as Clinica Santa Maria
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
National Provider Identifier
1285830448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- PROFESSIONAL FINANCIAL SERVICES
- Doing business as
- Clinica Santa Maria
- Practice address
- 730 Grandville Ave
Grand Rapids, MI 49503 - Phone
- (616) 685-8400
- Fax
- (616) 742-1322
- NPI assigned
- Jun 25, 2007
- Last updated
- Jul 9, 2010
- Organization subpart
- Yes
- Parent organization
- TRINITY HEALTH - MICHIGAN
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip H McCorkle Jr.
- Title
- President Ceo
- Phone
- (616) 685-1808
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
730 Grandville Ave
Grand Rapids, MI 49503
Mailing address
245 State St SE
Ste 1a
Grand Rapids, MI 49503
Phone (616) 685-8050
Other names 1
- Clinica Santa Maria
National Provider Directory
National Provider Directory- Part of
- Mercy Internal Med Asso
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Grand Rapids, MI
- NPI 1053453001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278633600000",
"number": "1285830448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STATE ST SE",
"address_2": "STE 1A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-685-8050",
"fax_number": "616-685-1850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 GRANDVILLE AVE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503",
"telephone_number": "616-685-8400",
"fax_number": "616-742-1322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL FINANCIAL SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRINITY HEALTH - MICHIGAN",
"enumeration_date": "2007-06-25",
"last_updated": "2010-07-09",
"status": "A",
"authorized_official_last_name": "MCCORKLE",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "616-685-1808",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinica Santa Maria",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
- Kimberly Proctor, LLMSW
- Madison Proctor
- Professional Dentalcare Associates, PLLC
- Professional Experienced Assistant Caring for the Elderly of Mind
- Professional Eyecare of West Michigan LLC
- Professional Financial Services
- Professional Hands LLC
- Professional Pain Management PC
- Professional Rehabilitation Services, Inc. (Rebound Home and Community Therapy)
- Professional Rehabilitation Services, Inc. (Rebound Physical Therapy & Occupational Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.