GRAND PRIMARY CARE PC NPI 1780475475

NPI Information

  • NPI: 1780475475
  • Provider Name: GRAND PRIMARY CARE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 23D2325871
  • Address: 3550 FAIRLANES AVE SW STE A
    GRANDVILLE, MI
    ZIP 49418
  • Phone: (616) 333-5913

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NPI Details

GRAND PRIMARY CARE PC is a family medicine in Grandville, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRAND PRIMARY CARE PC NPI is 1780475475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3550 FAIRLANES AVE SW STE A
GRANDVILLE, MI
ZIP 49418-572
Phone: (616) 333-5913

The provider's authorized official is Courtney Rose-meyer Smith .
The authorized official title is Owner, Ceo and has the following contact phone number (616) 970-5282.

The CLIA number assigned to this NPI record is 23D2325871 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2025 and was last updated on 5/13/2025.

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
1207Q00000XFamily MedicineYes

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: 11/21/2025

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