1598734584 RANDALL STREET MEDICAL PC

Rural Health Clinic/Center

Active

Basic Information

Organization Name
RANDALL STREET MEDICAL PC
Enumeration Date
March 14, 2006
Last Update
July 22, 2008
Authorized Official
DR. ROGER HOLMAN D.O.
OWNER/PHYSICIAN
Phone: (616) 837-9777

Practice Location

Address
675 W RANDALL ST
COOPERSVILLE, MI 494041305
Phone
(616) 837-9777
Fax
(616) 837-7813

Mailing Address

Address
675 W RANDALL ST
COOPERSVILLE, MI 494041305
Phone
(616) 837-9777
Fax
(616) 837-7813

Specialties & Taxonomies

Specialty Code Classification License State Primary
Rural Health Clinic/Center
Rural Health
261QR1300X Clinic/Center 5101006733 MI Primary

Other Identifiers

Identifier Type State Issuer
P57675 01 MI BLUES HMO'S
0027003 01 MI PRIORITY HEALTH HMO
4313667 05 MI N/A
005703574 01 MI BCBSMI

Frequently Asked Questions

What is RANDALL STREET MEDICAL PC's NPI number?
RANDALL STREET MEDICAL PC's NPI number is 1598734584.
Which doctor has NPI number 1598734584?
The doctor with NPI number 1598734584 is RANDALL STREET MEDICAL PC.
What is RANDALL STREET MEDICAL PC's practice address?
RANDALL STREET MEDICAL PC's practice address is 675 W RANDALL ST, COOPERSVILLE, MI, 494041305.
Which doctor practices at 675 W RANDALL ST, COOPERSVILLE, MI, 494041305?
RANDALL STREET MEDICAL PC practices at 675 W RANDALL ST, COOPERSVILLE, MI, 494041305.
What is RANDALL STREET MEDICAL PC's phone number?
RANDALL STREET MEDICAL PC's phone number is (616) 837-9777.
Who is (616) 837-9777?
(616) 837-9777 is the phone number for RANDALL STREET MEDICAL PC.
What is RANDALL STREET MEDICAL PC's specialty?
RANDALL STREET MEDICAL PC's specialty is Rural Health Clinic/Center.
What type of doctor is RANDALL STREET MEDICAL PC?
RANDALL STREET MEDICAL PC is a Rural Health Clinic/Center.
Is RANDALL STREET MEDICAL PC a Rural Health?
Yes, RANDALL STREET MEDICAL PC is a Rural Health.
Is RANDALL STREET MEDICAL PC still practicing?
Yes, RANDALL STREET MEDICAL PC is currently practicing.
Is RANDALL STREET MEDICAL PC accepting new patients?
RANDALL STREET MEDICAL PC may be accepting new patients. Please call their office at (616) 837-9777 to inquire about availability.
Is NPI 1598734584 still active?
Yes, NPI 1598734584 is currently active.
Where does RANDALL STREET MEDICAL PC practice?
RANDALL STREET MEDICAL PC practices in COOPERSVILLE, MI.