Organization · Type 2 NPI

Grand Valley State University

Health Service Clinic/Center · Grand Rapids, MI

NPI number 1386043719 Active

Practice location

72 Sheldon Blvd SE
Grand Rapids, MI 49503-4234

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	4704248959 (MI)
Health Service Clinic/Center Primary	261QH0100X	4704248959 (MI)

Health Service Clinic/Center: Definition to come...

5 other providers at this address

Calvin Paul Matson, LMSWClinical Social Worker Grand Rapids, MI NPI 1073938767
Holly Sue Smits, LPNLicensed Practical Nurse Grand Rapids, MI NPI 1003232562
Mary Koenen, F.N.P.Family Nurse Practitioner Grand Rapids, MI NPI 1184777682
Michelle Marie Wohlfert I, LMSWClinical Social Worker Grand Rapids, MI NPI 1225453103
Thomas A. Sanchez I, FNPFamily Nurse Practitioner Grand Rapids, MI NPI 1770632952

Other health service clinic/center providers in Grand Rapids

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NPI record

NPI: 1386043719
Entity type: Organization (Type 2)
Issued: Aug 21, 2014
Last updated: Aug 21, 2014
Status: Active

Other names

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Grand Valley State University Family Health Center · other name

Authorized official

Ann Sheehan, DNP, RN, CPNP
Assistant Dean for Practice Kcon
(616) 988-8774

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386043719

Grand Valley State University's National Provider Identifier is 1386043719, issued on Aug 21, 2014. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 21, 2014.