Randall Street Medical PC
NPI 1598734584 · Rural Health Clinic/Center · Coopersville, MI
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Street Medical PC is a Rural Health Clinic/Center organization in Coopersville, MI (NPI 1598734584).
Provider details
- NPI number
- 1598734584
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roger Holman, Owner/Physician(616) 837-9777
- License
- 5101006733 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2008-07-22
Frequently asked questions
- What is Randall Street Medical PC's NPI number?
- Randall Street Medical PC's National Provider Identifier (NPI) is 1598734584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randall Street Medical PC?
- Randall Street Medical PC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Randall Street Medical PC located?
- Randall Street Medical PC's practice location on file with NPPES is 675 W Randall St, Coopersville, MI 49404-1305.
- What is Randall Street Medical PC's phone number?
- The practice phone number listed in the NPPES registry for Randall Street Medical PC is (616) 837-9777.
- Does Randall Street Medical PC accept Medicare?
- Randall Street Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Randall Street Medical PC?
- The authorized official listed on Randall Street Medical PC's NPPES record is Roger Holman, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randall Street Medical PC's NPI active?
- Yes — Randall Street Medical PC's NPI (1598734584) is active in the NPPES registry as of the last update on 2008-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.