GRAND VALLEY STATE UNIVERSITY
NPI 1518019223
Clinic/Center - Urgent Care in Allendale, MI

Active since January 16, 2007CLIA Certified · 2 labs
10383 42ND AVE # A, ALLENDALE, MI 49401(616) 331-2809 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Grand Valley State University NPPES

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

GRAND VALLEY STATE UNIVERSITY (NPI 1518019223), doing business as Campus Health Center, is a healthcare organization registered as an urgent care in Allendale, Michigan and active in the NPI registry since January 2007. The organization holds 2 active CLIA laboratory certificates and lists Edward Amos Jones, Dchwb, as its authorized official.

NPPES Registry Identity

NPI1518019223
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameGRAND VALLEY STATE UNIVERSITY
Location Address10383 42ND AVE # AAllendale, MI 49401-8207
Mailing Address10383 42nd Ave # AAllendale, MI 49401-8207 · (616) 331-2809
Organization SubpartNo
Authorized OfficialEdward Amos JonesDchwb · (616) 828-9504
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1518019223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedFamily MedicineTaxonomy 207Q00000X
10383 42ND AVE # A, Allendale, MI 49401

Other Names 1

Doing Business AsCampus Health Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grand Valley State University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Grand Valley State University, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1497270524
6105 WILSON AVE SW STE 202
Wyoming, MI 49418
(616) 486-5299
✔ PECOS9.6 mi
Nurse Practitioner
NPI 1124854864
8333 FELCH ST STE 100A
Zeeland, MI 49464
(616) 772-7562
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1376262550
370 120TH AVE
Holland, MI 49424
(616) 396-5855
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1922651322
284 ROOST AVE
Holland, MI 49424
(616) 377-4655
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1083013577
523 EDGEWORTHE DR SE
Ada, MI 49301
(616) 745-8097
✔ PECOS19 mi
Nurse Practitioner
NPI 1710695572
990 TERRACE ST # 980
Muskegon, MI 49442
(616) 450-6921
✔ PECOS26 mi
Family Practice
NPI 1124090675
15500 LUNDY PKWY
Dearborn, MI 48126
(313) 586-5011
✔ PECOS✔ Accepts Medicare144 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 23D2326323

Grand Valley State University Campus Health Center · Allendale, MI
Active · expires Jun 30, 2027
CLIA Number23D2326323
Laboratory TypeUniversity Health Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorSarju S. Shah
Laboratory Phone(616) 331-2771
Laboratory LocationGrand Valley State University Campus Health Center10383 42nd Avenue, Allendale, MI 49401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2205591

Grand Valley State University · Allendale, MI
Active · expires Dec 14, 2026
CLIA Number23D2205591
Laboratory TypeIn House Test Lab
Certificate Effective DateDecember 15, 2024
Certificate Expiration DateDecember 14, 2026
Laboratory DirectorRobert P. Smart
Laboratory Phone(616) 331-6840
Laboratory LocationGrand Valley State University1 Campus Drive, Allendale, MI 49401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Valley State University's NPI number?

The NPI number for Grand Valley State University is 1518019223. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Campus Health Center.

Where is Grand Valley State University located?

Grand Valley State University is located at 10383 42nd Ave # A, Allendale, MI 49401. The listed phone number is (616) 331-2809.

What is Grand Valley State University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Grand Valley State University enrolled in Medicare?

Yes. Grand Valley State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grand Valley State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Grand Valley State University. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Grand Valley State University hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Grand Valley State University accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Grand Valley State University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Valley State University was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.