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Randall Street Medical PC

Rural Health Clinic/Center in Coopersville, MI · enumerated 2006 · authorized official Roger Holman, Owner/Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1598734584

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Registry record

Entity type Organization (Type 2)
Legal business name Randall Street Medical PC
Practice address 675 W Randall St, Coopersville, MI, 49404
Phone (616) 837-9777
Fax (616) 837-7813
Enumeration date Mar 14, 2006
Last updated in NPPES Jul 22, 2008

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 5101006733 (MI) Primary

Authorized official

Name Roger Holman
Title Owner/Physician
Phone (616) 837-9777

Other identifiers

Identifier Type State Issuer
P57675 Other MI BLUES HMO'S
0027003 Other MI PRIORITY HEALTH HMO
4313667 Medicaid MI -
005703574 Other MI BCBSMI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Randall Street Medical PC located?
The practice location on file with NPPES is in Coopersville, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-07-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-22.