GRAND RIVER FAMILY CARE, PC
NPI 1396301719
Family Medicine in Okemos, MI

Q: What is Grand River Family Care, PC's NPI number?

The NPI number for Grand River Family Care, PC is 1396301719. It was assigned to this organization in the NPPES registry on May 10, 2019.

Q: What is Grand River Family Care, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 10, 2019CLIA 23D2166734 · Waiver

1881 W GRAND RIVER AVE, OKEMOS, MI 48864(517) 339-2116(517) 339-4620 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Grand River Family Care, Pc NPPES

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

GRAND RIVER FAMILY CARE, PC (NPI 1396301719) is a healthcare organization registered as a family medicine in Okemos, Michigan and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through May 22, 2027 and lists Quinn Bosworth, Owner, as its authorized official.

NPPES Registry Identity

NPI1396301719

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGRAND RIVER FAMILY CARE, PC

Location Address1881 W GRAND RIVER AVEOkemos, MI 48864-1840

Mailing Address1881 W Grand River AveOkemos, MI 48864-1840 · (517) 339-2116 · Fax (517) 339-4620

Phone(517) 339-2116

Fax(517) 339-4620

Organization SubpartNo

Authorized OfficialQuinn BosworthOwner · (517) 339-2116

Enumeration DateMay 10, 2019

✔ NPI 1396301719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1881 W GRAND RIVER AVE, Okemos, MI 48864

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 23D2166734

Grand River Family Care, PC · Okemos, MI

Active · expires May 22, 2027

CLIA Number23D2166734

Laboratory TypePractitioner Other

Certificate Effective DateMay 23, 2025

Certificate Expiration DateMay 22, 2027

Laboratory DirectorQuinn M. Bosworth

Laboratory Phone(517) 339-2116

Laboratory LocationGrand River Family Care, PC1881 W Grand River Ave, Okemos, MI 48864

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 9

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

DR. QUINN M. BOSWORTH DO

Family Medicine