CHCC GRAND RAPIDS LLC NPI 1972315802

NPI Information

  • NPI: 1972315802
  • Provider Name: CHCC GRAND RAPIDS LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 23D2320455
  • Address: 2984 BRADFORD ST NE
    GRAND RAPIDS, MI
    ZIP 49525
  • Phone: (616) 317-8995

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NPI Details

CHCC GRAND RAPIDS LLC is an ambulatory surgical clinic center in Grand Rapids, MI. CHCC GRAND RAPIDS LLC NPI is 1972315802. The provider is registered as an organization entity type.

The provider's business location address is:

2984 BRADFORD ST NE
GRAND RAPIDS, MI
ZIP 49525-427
Phone: (616) 317-8995

The provider's authorized official is Kathryn Garry .
The authorized official title is Director/officer and has the following contact phone number (248) 719-0388.

The CLIA number assigned to this NPI record is 23D2320455 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2025 and was last updated on 1/27/2025.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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