Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Randall Street Medical PC

Organization Rural Health Clinic/Center · NPI 1598734584

Randall Street Medical PC is a Rural Health Clinic/Center in Coopersville, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

675 W Randall St
Coopersville, MI 49404-1305
Phone: (616) 837-9777
Fax: (616) 837-7813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 5101006733 (MI)

Record details

NPI number1598734584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Holman — Owner/Physician · (616) 837-9777
NPI enumeratedMarch 14, 2006
Last updated in NPPESJuly 22, 2008
Mailing address675 W Randall St, Coopersville, MI 49404-1305