CORNERSTONE UNIVERSITY HEALTH SERVICES
NPI 1033267885
Clinic/Center - Student Health in Grand Rapids, MI

Q: What is Cornerstone University Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since January 08, 2007CLIA 23D0876081 · Waiver

1001 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 222-1441(616) 222-1541 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Cornerstone University Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNERSTONE UNIVERSITY HEALTH SERVICES (NPI 1033267885) is a healthcare organization registered as a student health in Grand Rapids, Michigan and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 12, 2027 and lists Carol Lee Carpenter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033267885

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameCORNERSTONE UNIVERSITY HEALTH SERVICES

Location Address1001 E BELTLINE AVE NEGrand Rapids, MI 49525-5803

Mailing Address1001 E Beltline Ave NeGrand Rapids, MI 49525-5803 · (616) 222-1441 · Fax (616) 222-1541

Phone(616) 222-1441

Fax(616) 222-1541

Organization SubpartNo

Authorized OfficialCarol Lee CarpenterOffice Manager · (616) 222-1441

Enumeration DateJanuary 8, 2007

Last NPPES UpdateMay 19, 2009

✔ NPI 1033267885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

1001 E BELTLINE AVE NE, Grand Rapids, MI 49525

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Other Identifiers 1

Other80-0-D1-1180-0MI · Bcbs Pin

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0876081

Cornerstone University Student Health · Grand Rapids, MI

Active · expires May 12, 2027

CLIA Number23D0876081

Laboratory TypeSchool/Student Health Service

Certificate Effective DateMay 13, 2025

Certificate Expiration DateMay 12, 2027

Laboratory DirectorJana L. Bump

Laboratory Phone(616) 222-1441

Laboratory LocationCornerstone University Student Health1001 E Beltline NE Verna Miller Hall, Grand Rapids, MI 49525

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PHILIP ANTHONY KEITH ATC

Specialist/Technologist (Athletic Trainer)