Healthcare Provider Details
I. General information
NPI: 1326317108
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/22/2011
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
844 WASHINGTON AVE STE 2700
HOLLAND MI
49423-7139
US
IV. Provider business mailing address
844 WASHINGTON AVE STE 2700
HOLLAND MI
49423-7139
US
V. Phone/Fax
- Phone: 616-748-5785
- Fax:
- Phone: 616-748-5785
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LW0102X |
| Taxonomy | Women's Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
ALEXANDER
ROEHLING
Title or Position: CFO
Credential:
Phone: 616-394-3456