Healthcare Provider Details

I. General information

NPI: 1447993803
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 04/14/2022
Certification Date: 03/31/2022
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:
Mailing address:
  • Phone: 616-393-2190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

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