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BORN PREVENTIVE HEALTH CARE CLINIC,PC
NPI 1881695484
Family Medicine in Grand Rapids, MI

Active since August 03, 2005CLIA 23D0380673 · Accreditation
3700 52ND ST SE, GRAND RAPIDS, MI 49512(616) 656-3700(616) 656-3701 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Born Preventive Health Care Clinic,pc NPPES

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

BORN PREVENTIVE HEALTH CARE CLINIC,PC (NPI 1881695484) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since August 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Julie Merrill, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1881695484
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBORN CLINIC, PC
Location Address3700 52ND ST SEGrand Rapids, MI 49512-9637
Mailing Address3700 52nd St SeGrand Rapids, MI 49512-9637 · (616) 656-3700 · Fax (616) 656-3701
Phone(616) 656-3700
Fax(616) 656-3701
Organization SubpartNo
Authorized OfficialJulie MerrillAccounts Manager · (616) 656-3700
Enumeration DateAugust 3, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1881695484 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.
3700 52ND ST SE, Grand Rapids, MI 49512
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Other Names 1

Other NameBorn Preventive Health Care Clinic,pc

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

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 Accreditation 23D0380673

Born Clinic, P C · Grand Rapids, MI
Active · expires Dec 22, 2027
CLIA Number23D0380673
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorJill Moseley
Laboratory Phone(616) 656-3700
Laboratory LocationBorn Clinic, P C3700 52nd Street SE, Grand Rapids, MI 49512
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 12

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

TAMMY BORN HUIZENGA D.O.
Family Medicine
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
JACLYN R COCHRANE PA-C
Physician Assistant (Medical)
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
ARKADIY SARKISOV DIPL.AC./CMT
Acupuncturist
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
KATHERINE MARIE WARNER NP
Nurse Practitioner
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
JEFFREY P HENDRICKS MD
Family Medicine
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
LAURA J SAMUEL NP
Nurse Practitioner
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
ABIGAIL MATOVICH PA-C
Physician Assistant
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700
DOROTHY A PEDTKE D.O.
Family Medicine
3700 52ND ST SE
GRAND RAPIDS, MI 49512
Kent County (616) 656-3700

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 Born Clinic, PC's NPI number?

The NPI number for Born Clinic, PC is 1881695484. It was assigned to this organization in the NPPES registry on August 3, 2005. The provider is also known as Born Preventive Health Care Clinic,pc.

Where is Born Clinic, PC located?

Born Clinic, PC is located at 3700 52nd St SE, Grand Rapids, MI 49512. The listed phone number is (616) 656-3700.

What is Born Clinic, PC's specialty?

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

Does Born Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 23D0380673) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Born Clinic, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.