GRAND VALLEY SURGICAL CENTER, LLC (NPI# 1417950395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417950395 |
Entity Type | Organization |
Organization Name | GRAND VALLEY SURGICAL CENTER, LLC |
Practice Address |
2680 Leonard St Ne Ste 1 Grand Rapids MI 49525-6902 |
Practice Telephone | 6162241110 |
Mailing Telephone | 6162241110 |
Enumeration Date | 2005-05-24 |
Last Update Date | 2012-08-16 |
Authorized Official Name | KARA DUNWOODY (CUSTOMER SERVICES MANAGER) |
Authorized Official Telephone | 6169492410 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
416829 | MI | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBS | 40362 | 01 |
MI | MEDICARE RAILROAD | 490004173 | 01 |
MI | BCBS SECONDARY | OD17003 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942207196 | Grand Valley Surgical Center, LLC | Clinic/Center | 710 Wellington Ave Ste 21, Grand Junction, CO 81501-6102 | 2005-07-01 |
Street Address |
2680 LEONARD ST NE STE 1 |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49525-6902 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801220348 | Dayna Roede | Physician Assistant | 2680 Leonard St Ne, Grand Rapids, MI 49525-6934 | 2013-08-31 |
1740532035 | Orthopaedic Associates of Grand Rapids PC | Prosthetic/Orthotic Supplier | 2680 Leonard St Ne, Grand Rapids, MI 49525 | 2012-10-10 |
1942476734 | Pamela Lynn Klinkner | Physician Assistant | 2680 Leonard St Ne, Suite 2, Grand Rapids, MI 49525 | 2008-05-01 |
1285826099 | Gregory Gordon Stancroff | Pharmacist | 2680 Leonard St Ne, Grand Rapids, MI 49525-6934 | 2007-08-15 |
1366508392 | Anne Marie Kozal | Pharmacist | 2680 Leonard St Ne, Grand Rapids, MI 49525-6934 | 2006-12-27 |
1215924378 | David B Norris | Physician Assistant | 2680 Leonard St Ne, Grand Rapids, MI 49525-6934 | 2005-10-04 |
1851391031 | Cheryl Ann Schmitt | Physician Assistant | 2680 Leonard St Ne, Grand Rapids, MI 49525 | 2005-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
Find all providers in zip 49525 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063942977 | Deer River Healthcare Center Inc | Clinic/Center | 1542 Golf Course Rd Ste 202, Grand Rapids, MN 55744-3557 | 2017-06-13 |
1184132664 | The Duluth Clinic Ltd | Clinic/Center | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2018-01-18 |
1457863565 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 260 Jefferson Ave Se Ste 115, Grand Rapids, MI 49503-4597 | 2017-10-30 |
1376862151 | Advantage Health/saint Mary's Medical Group | Clinic/Center | 245 State St Se, Grand Rapids, MI 49503-4328 | 2010-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205443751 | Crossover Health Medical Group | Clinic/Center | 424 E. 4th St, Suite 100, Royal Oak, MI 48067 | 2020-09-29 |
1619584570 | Crossover Health Medical Group | Clinic/Center | 19901 Dix Toledo Hwy, Brownstown Twp, MI 48183-1039 | 2020-09-24 |
1669087854 | Advance Counseling Services, LLC | Clinic/Center | 110 Trealout Dr Ste 103, Fenton, MI 48430-3211 | 2020-09-14 |
1104439033 | Otevwa Homes Inc | Clinic/Center | 6556 Rustic Ridge Trl, Grand Blanc, MI 48439-4956 | 2020-08-29 |
1245849827 | Transitions Case Management Education Inc. | Clinic/Center | 26375 Halsted Rd Apt 122, Farmington Hills, MI 48331-3762 | 2020-07-29 |
1689204703 | Professional Ergonomics LLC | Clinic/Center | 1754 Central Park Dr Apt H, Okemos, MI 48864-1258 | 2020-01-16 |
1598319147 | Crescent Procedure Center Plc | Clinic/Center | 30671 Stephenson Hwy Ste A, Madison Heights, MI 48071-1635 | 2019-07-31 |
1164984944 | Rsf Medics Pllc | Clinic/Center | 28511 Ford Rd, Garden City, MI 48135 | 2019-04-02 |
1114484540 | Maan Ekkah, Md, PC | Clinic/Center | 4848 Adams Pointe Ct, Troy, MI 48098-4111 | 2019-02-21 |
1437639051 | Tlc Home and Respite Care LLC | Clinic/Center | 16910 Gardenview Cir, Detroit, MI 48228-4331 | 2018-08-14 |
Find all providers with the same taxonomy |
City | GRAND RAPIDS |
Zip Code | 49525 |
Please comment or provide details below to improve the information on GRAND VALLEY SURGICAL CENTER, LLC.
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.