CALVIN COLLEGE NPI 1609147339

NPI Information

CALVIN COLLEGE is a primary care clinic center in Grand Rapids, MI. CALVIN COLLEGE NPI is 1609147339. The provider is registered as an organization entity type.
The provider Is Doing Business As Calvin College Health Services.

The provider's business location address is:

3195 KNIGHT WAY SE
GRAND RAPIDS, MI
ZIP 49546-409
Phone: (616) 526-6187
Fax: (616) 526-6548

The provider's authorized official is Laura Deann Champion .
The authorized official title is Director and has the following contact phone number (616) 526-6678.

The CLIA number assigned to this NPI record is 23D0876500 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/26/2012 and was last updated on 11/19/2015.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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