NPIMap

Organization Active NPI

Grand Valley Family Health Center

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1306062237
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRAND VALLEY FAMILY HEALTH CENTER
Practice address
2680 Leonard St NE Ste 2
Grand Rapids, MI 49525
Phone
(616) 949-2410
Fax
(616) 224-8687
NPI assigned
Apr 18, 2007
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Janet Lederman
Title
Director
Phone
(616) 949-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

2680 Leonard St NE Ste 2
Grand Rapids, MI 49525

Mailing address

2680 Leonard St NE Ste 2
Grand Rapids, MI 49525-6902
Phone (616) 949-9944

National Provider Directory

National Provider Directory

Locations

2680 Leonard St NE
Ste 2
Grand Rapids, MI 49525
Phone (616) 224-1515

825 Forest Hill Ave SE
Grand Rapids, MI 49546
Phone (616) 949-6003

529 Baldwin St
Jenison, MI 49428
Phone (616) 457-3830

1142 44th St SE
Kentwood, MI 49508
Phone (616) 534-8323

650 3 Mile Rd NW
Walker, MI 49544
Phone (616) 784-4747

2225 Main St SW
Ste 110
Wyoming, MI 49519

5251 Clyde Park Ave SW
Wyoming, MI 49509
Phone (616) 532-1100

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1306062237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256902",
            "telephone_number": "616-949-9944",
            "fax_number": "616-224-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-949-2410",
            "fax_number": "616-224-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VALLEY FAMILY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-949-9944"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 2018; 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.