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Organization
CORNERSTONE UNIVERSITY HEALTH SERVICES
Active
Organization
CORNERSTONE UNIVERSITY HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL LEE CARPENTER (OFFICE MANAGER)
(616) 222-1441
Entity
Organization
Contact information
Practice address
1001 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5803
(616) 222-1441
(616) 222-1541
Mailing address
1001 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-5803
(616) 222-1441
(616) 222-1541
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0-D1-1180-0
BCBS PIN
MI
Enumeration date
01/08/2007
Last updated
05/19/2009
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