NPIMap

Organization Active NPI

Cornerstone University Health Services

  • Student Health Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1033267885
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CORNERSTONE UNIVERSITY HEALTH SERVICES
Practice address
1001 E Beltline Ave NE
Grand Rapids, MI 49525-5803
Phone
(616) 222-1441
Fax
(616) 222-1541
NPI assigned
Jan 8, 2007
Last updated
May 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol Lee Carpenter
Title
Office Manager
Phone
(616) 222-1441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1001 E Beltline Ave NE
Grand Rapids, MI 49525-5803

Mailing address

1001 E Beltline Ave NE
Grand Rapids, MI 49525-5803
Phone (616) 222-1441

Other identifiers 1

IdentifierTypeStateIssuer
80-0-D1-1180-0OtherMIBCBS PIN

National Provider Directory

National Provider Directory

Locations

1001 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 222-1441

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242691200000",
    "number": "1033267885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255803",
            "telephone_number": "616-222-1441",
            "fax_number": "616-222-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495255803",
            "telephone_number": "616-222-1441",
            "fax_number": "616-222-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE UNIVERSITY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-05-19",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "616-222-1441"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "80-0-D1-1180-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.