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HOLT FAMILY PRACTICE PC
NPI 1790898070
Family Medicine in Holt, MI

Active since August 17, 2006CLIA 23D0669469 · Waiver
4378 HOLT RD, HOLT, MI 48842(517) 694-1466(517) 694-5142 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holt Family Practice Pc NPPES

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

HOLT FAMILY PRACTICE PC (NPI 1790898070) is a healthcare organization registered as a family medicine in Holt, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Mark M Richardson, President, as its authorized official.

NPPES Registry Identity

NPI1790898070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOLT FAMILY PRACTICE PC
Location Address4378 HOLT RDHolt, MI 48842-1666
Mailing Address4378 Holt RdHolt, MI 48842-1666 · (517) 694-1466 · Fax (517) 694-5142
Phone(517) 694-1466
Fax(517) 694-5142
Organization SubpartNo
Authorized OfficialMark M RichardsonPresident · (517) 694-1466
Enumeration DateAugust 17, 2006
Last NPPES UpdateMarch 26, 2008
✔ NPI 1790898070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
4378 HOLT RD, Holt, MI 48842
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Other Identifiers 3

Other080C364770MI · Bcbs Group Id
Medicare PINOC36477MI
Medicare NSC0471250001MI

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

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 23D0669469

Holt Family Practice · Holt, MI
Active · expires Jul 16, 2028
CLIA Number23D0669469
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorMatthew G. Gasteiger
Laboratory Phone(517) 694-1466
Laboratory LocationHolt Family Practice2073 N Aurelius Road, Holt, MI 48842
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. TERENCE EDWARD MCHUGH D.D.S.
Dentist (General Practice)
4378 HOLT RD
HOLT, MI 48842
Ingham County (517) 694-2412
TIMOTHY T WELLEMEYER MD
Family Medicine
4378 HOLT RD
HOLT, MI 48842
Ingham County (517) 694-1466
HOLLY NIEUSMA DO
Family Medicine
4378 HOLT RD
HOLT, MI 48842
Ingham County (517) 694-1466

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 Holt Family Practice PC's NPI number?

The NPI number for Holt Family Practice PC is 1790898070. It was assigned to this organization in the NPPES registry on August 17, 2006.

Where is Holt Family Practice PC located?

Holt Family Practice PC is located at 4378 Holt Rd, Holt, MI 48842. The listed phone number is (517) 694-1466.

What is Holt Family Practice PC's specialty?

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

Does Holt Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0669469) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holt Family Practice PC was last updated on March 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.