GRAND VALLEY STATE UNIVERSITY NPI 1386043719

NPI Information

  • NPI: 1386043719
  • Provider Name: GRAND VALLEY STATE UNIVERSITY
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Other Name: GRAND VALLEY STATE UNIVERSITY FAMILY HEALTH CENTER
  • Address: 72 SHELDON BLVD SE
    GRAND RAPIDS, MI
    ZIP 49503
  • Phone: (616) 988-8774

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NPI Details

GRAND VALLEY STATE UNIVERSITY is a health service clinic center in Grand Rapids, MI. GRAND VALLEY STATE UNIVERSITY NPI is 1386043719. The provider is registered as an organization entity type.
The provider Other Name Is Grand Valley State University Family Health Center.

The provider's business location address is:

72 SHELDON BLVD SE
GRAND RAPIDS, MI
ZIP 49503-234
Phone: (616) 988-8774

The provider's authorized official is Ann Sheehan .
The authorized official title is Assistant Dean For Practice Kcon and has the following contact phone number (616) 988-8774.

The enumeration date for this NPI number is 8/21/2014 and was last updated on 8/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4704248959MICHIGANNo
2261QH0100XClinic/CenterHealth Service4704248959MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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