# GRAND VALLEY STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Campus Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518019223
- **Authorized official:** EDWARD AMOS JONES II (DCHWB)
- **Authorized official phone:** (616) 828-9504

## Contact information

- **Practice address:** 10383 42ND AVE \# A, ALLENDALE, MI 49401-8207
- **Practice address phone:** (616) 331-2809
- **Mailing address:** 10383 42ND AVE \# A, ALLENDALE, MI 49401-8207
- **Mailing address phone:** (616) 331-2809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 07/25/2025