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Holland Family Medicine PC

Family Medicine Physician in Holland, MI · enumerated 2006 · authorized official Jack Derks, Family Practice.

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

National Provider Identifier

1629002852

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Registry record

Entity type Organization (Type 2)
Legal business name Holland Family Medicine PC
Practice address 601 Michigan Ave Ste 104, Holland, MI, 49423
Phone (616) 392-2361
Fax (616) 392-2364
Enumeration date Jul 11, 2006
Last updated in NPPES Mar 5, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301028907 (MI) Primary

Authorized official

Name Jack Derks
Title Family Practice
Phone (616) 392-2361

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

What is the NPI number for Holland Family Medicine PC?
The NPI for Holland Family Medicine PC is 1629002852, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Holland Family Medicine PC?
NPPES lists Jack Derks (Family Practice) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-05.