Holland Family Medicine Pc

LBN: Holland Family Medicine Pc
Holland Family Medicine Pc is an health care organization with primary practice located at 601 Michigan Ave Ste 104 , Holland MI 49423-4951. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Holland Family Medicine Pc can be contacted via phone (616) 392-2361, or through Derks, Jack via phone (616) 392-2361.

Contact Information

Primary practice address
601 Michigan Ave Ste 104 Holland MI 49423-4951
Phone: (616) 392-2361
Fax: (616) 392-2364
Website:
Map and Directions
Authorized official contact:
Name: Derks, Jack Doctor of Medicine (MD)
Phone: (616) 392-2361

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301028907 Michigan

Profile Details

NPI number 1629002852
LBN Legal business name Holland Family Medicine Pc
DBA Doing business as
Authorized official Derks, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Mar 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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