Healthcare Provider Details
I. General information
NPI: 1275844557
Provider Name (Legal Business Name): HOLLAND COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2010
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8300 WESTPARK WAY
ZEELAND MI
49464-7901
US
IV. Provider business mailing address
8300 WESTPARK WAY
ZEELAND MI
49464-7901
US
V. Phone/Fax
- Phone: 616-772-7314
- Fax:
- Phone: 616-772-7314
- Fax: 616-395-4437
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363A00000X |
| Taxonomy | Physician Assistant |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
ROEHLING
Title or Position: CFO
Credential:
Phone: 616-394-3456