Organization · Type 2 NPI
Randall Street Medical PC
Rural Health Clinic/Center · Coopersville, MI
NPI number
1598734584
Active
Practice location
675 W Randall St
Coopersville, MI 49404-1305
Fax (616) 837-7813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 5101006733 (MI) |
Rural Health Clinic/Center: Definition to come...
4 other providers at this address
- Heidi Jo Parcher, AGPCNP-BCFamily Medicine Physician Coopersville, MI NPI 1952110702
- Laura Schoenborn, RN, MSN, FNPFamily Nurse Practitioner Coopersville, MI NPI 1841197803
- Leah Boeve, FNPFamily Nurse Practitioner Coopersville, MI NPI 1750101895
- Roger Holman, DOFamily Medicine Physician Coopersville, MI NPI 1073518270
About NPI 1598734584
Randall Street Medical PC's National Provider Identifier is 1598734584, issued on Mar 14, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Coopersville, MI. The record was last updated on Jul 22, 2008.