institution
Randall Street Medical Pc
Rural Health Clinic/Center in Coopersville, Michigan
NPI 1598734584

Randall Street Medical Pc is a Rural Health Clinic/Center based in Coopersville, MI and is specialized in Rural Health. Randall Street Medical Pc practices in Coopersville, MI. The NPI Number for Randall Street Medical Pc is 1598734584 and holds a License No. 5101006733 (Michigan).

The current practice location address for Randall Street Medical Pc is 675 W Randall St, Coopersville, MI and can be reached out via phone at 616-837-9777 and via fax at 616-837-7813.

Location: 675 W Randall St, Coopersville, MI, 49404-1305
institution
Provider Profile Details
NPI Number
1598734584
Provider Name
Randall Street Medical Pc
Credential
Provider Entity Type
Organization
Address
675 W Randall St, Coopersville, MI, 49404-1305
Phone Number
616-837-9777
Fax Number
616-837-7813
Provider Enumeration Date
03/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P57675 01 MI BLUES HMO'S
0027003 01 MI PRIORITY HEALTH HMO
4313667 05 MI
005703574 01 MI BCBSMI
institution
Provider Business Practice Location Address Details
Address
675 W Randall St
City
State
Zip
49404-1305
Phone Number
616-837-9777
Fax Number
616-837-7813
person
Provider Business Mailing Address Details
Address
675 W Randall St
City
State
Zip
49404-1305
Phone Number
616-837-9777
Fax Number
616-837-7813
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
5101006733 (Michigan)
Definition
Definition to come...
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