GRAND RIVER ENDOSCOPY CENTER, L.L.C. – NPI #1043288467
Clinic/Center

GRAND RIVER ENDOSCOPY CENTER, L.L.C. is an AHC clinic located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1043288467 to GRAND RIVER ENDOSCOPY CENTER, L.L.C. on March 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Oct 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND RIVER ENDOSCOPY CENTER, L.L.C. below.

NPI Profile for
GRAND RIVER ENDOSCOPY CENTER, L.L.C.

NPI Number
1043288467
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAND RIVER ENDOSCOPY CENTER, L.L.C.
Primary location
310 LAFAYETTE AVE SE
SUITE 200
GRAND RAPIDS, MI 49503-4693
Phone: (616) 752-5890 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOLLY SUND
ACCESS ASC BILLING TEAM LEAD
Phone: (616) 685-7174
Updated
Certification Date
Oct 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
261QE0800X
- Clinic/Center / Endoscopy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.