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HOLLAND FAMILY MEDICINE PC
NPI 1629002852
Family Medicine in Holland, MI

Active since July 11, 2006
601 MICHIGAN AVE STE 104, HOLLAND, MI 49423(616) 392-2361(616) 392-2364 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holland Family Medicine Pc NPPES

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

HOLLAND FAMILY MEDICINE PC (NPI 1629002852) is a healthcare organization registered as a family medicine in Holland, Michigan and active in the NPI registry since July 2006. The organization lists Jack Derks, Family Practice, as its authorized official.

NPPES Registry Identity

NPI1629002852
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLLAND FAMILY MEDICINE PC
Location Address601 MICHIGAN AVE STE 104Holland, MI 49423-4951
Mailing Address601 Michigan Ave Ste 104Holland, MI 49423-4951 · (616) 392-2361 · Fax (616) 392-2364
Phone(616) 392-2361
Fax(616) 392-2364
Organization SubpartNo
Authorized OfficialJack DerksFamily Practice · (616) 392-2361
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 5, 2015
✔ NPI 1629002852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301028907
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 MICHIGAN AVE STE 104, Holland, MI 49423
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Other Identifiers 1

Medicare PIN0G04700MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS KATHLEEN SUE DIRKSE FNP
Nurse Practitioner (Family)
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423
Allegan County (616) 392-2361
JACK O DERKS MD
Family Medicine
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423
Allegan County (616) 392-2361
DR. RICHARD ALAN KEMPF MD
Family Medicine
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423
Allegan County (616) 392-2361

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 Holland Family Medicine PC's NPI number?

The NPI number for Holland Family Medicine PC is 1629002852. It was assigned to this organization in the NPPES registry on July 11, 2006.

Where is Holland Family Medicine PC located?

Holland Family Medicine PC is located at 601 Michigan Ave Ste 104, Holland, MI 49423. The listed phone number is (616) 392-2361.

What is Holland Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Holland Family Medicine PC was last updated on March 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.