Healthcare Provider Details

I. General information

NPI: 1700549169
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 05/23/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 BLUE STAR HWY
SAUGATUCK MI
49453-9725
US

IV. Provider business mailing address

6490 BLUE STAR HWY
SAUGATUCK MI
49453-9725
US

V. Phone/Fax

Practice location:
  • Phone: 269-857-3208
  • Fax: 269-857-3222
Mailing address:
  • Phone: 269-857-3208
  • Fax: 269-857-3222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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