VILLAGE FAMILY MEDICINE PC
NPI 1164187852
Clinic/Center - Primary Care in Roscommon, MI

Active since November 08, 2021CLIA 23D2242396 · Waiver
308B LAKE ST, ROSCOMMON, MI 48653(989) 302-2360 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Village Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE FAMILY MEDICINE PC (NPI 1164187852) is a healthcare organization registered as a primary care in Roscommon, Michigan and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through November 7, 2027 and lists Jeffrey David Strickler, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1164187852
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE FAMILY MEDICINE PC
Location Address308B LAKE STRoscommon, MI 48653-8930
Mailing Address308b Lake StRoscommon, MI 48653-8930 · (989) 302-2360
Organization SubpartNo
Authorized OfficialJeffrey David StricklerOwner/physician · (989) 302-2360
Enumeration DateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1164187852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
308B LAKE ST, Roscommon, MI 48653

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2242396

Village Family Medicine P C · Roscommon, MI
Active · expires Nov 7, 2027
CLIA Number23D2242396
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorJeffrey D. Strickler
Laboratory Phone(989) 783-6300
Laboratory LocationVillage Family Medicine P C308 Lake Street Suite B, Roscommon, MI 48653
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Family Medicine PC's NPI number?

The NPI number for Village Family Medicine PC is 1164187852. It was assigned to this organization in the NPPES registry on November 8, 2021.

Where is Village Family Medicine PC located?

Village Family Medicine PC is located at 308B Lake St, Roscommon, MI 48653. The listed phone number is (989) 302-2360.

What is Village Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Village Family Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2242396) is associated with this NPI, valid through November 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Family Medicine PC was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.