Healthcare Provider Details

I. General information

NPI: 1982910857
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 03/18/2022
Certification Date: 03/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 MICHIGAN AVE STE 101
HOLLAND MI
49423-4911
US

IV. Provider business mailing address

577 MICHIGAN AVE STE 101
HOLLAND MI
49423-4911
US

V. Phone/Fax

Practice location:
  • Phone: 616-393-2190
  • Fax: 616-393-0147
Mailing address:
  • Phone: 616-393-2190
  • Fax: 616-393-0147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: ALEX ROEHLING
Title or Position: CFO
Credential:
Phone: 616-394-3456