Healthcare Provider Details

I. General information

NPI: 1508862558
Provider Name (Legal Business Name): ZEELAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 08/24/2023
Certification Date: 08/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8333 FELCH ST
ZEELAND MI
49464-2608
US

IV. Provider business mailing address

100 MICHIGAN NE ST MC845
GRAND RAPIDS MI
49503
US

V. Phone/Fax

Practice location:
  • Phone: 616-772-7530
  • Fax:
Mailing address:
  • Phone: 616-486-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19320000
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number193200000X
License Number StateMI

VIII. Authorized Official

Name: RYAN CATIGNANI
Title or Position: VP, PROVIDER SERVICES
Credential:
Phone: 947-522-0008