| Grand Valley State University Family Health Center | |
|
72 Sheldon Blvd Se Grand Rapids MI 49503-4234 | |
| (616) 988-8774 | |
| Not Available |
| Full Name | Grand Valley State University Family Health Center |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 72 Sheldon Blvd Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ann Sheehan (ASSISTANT DEAN FOR PRACTICE KCON) |
| Authorized Official Contact | 6169888774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Valley State University Family Health Center 72 Sheldon Blvd Se Grand Rapids MI 49503-4234 Ph: (616) 988-8774 | Grand Valley State University Family Health Center 72 Sheldon Blvd Se Grand Rapids MI 49503-4234 Ph: (616) 988-8774 |
| NPI Number | 1386043719 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386043719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4704248959 (Michigan) | Secondary |
| 261QH0100X | Clinic/center - Health Service | 4704248959 (Michigan) | Primary |
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