Healthcare Provider Details

I. General information

NPI: 1952507444
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

577 MICHIGAN AVE STE 201
HOLLAND MI
49423-4911
US

IV. Provider business mailing address

577 MICHIGAN AVE STE 201
HOLLAND MI
49423-4911
US

V. Phone/Fax

Practice location:
  • Phone: 616-392-1816
  • Fax: 616-392-1292
Mailing address:
  • Phone: 616-392-1816
  • Fax: 616-392-1292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateNULL

VIII. Authorized Official

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