Organization Active NPI

Holland Health Service Inc

  • Nurse Practitioner
  • Fulton, MS
National Provider Identifier
1063536878
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R850493 Issued in MS
Legal business name
HOLLAND HEALTH SERVICE INC
Practice address
1905 S Adams St
Fulton, MS 38843-8738
Phone
(662) 862-2165
Fax
(662) 862-2167
NPI assigned
Mar 19, 2007
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James C Holland
Title
Owner
Phone
(662) 862-2165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R850493 MS Primary

Addresses

Primary practice location

1905 S Adams St
Fulton, MS 38843-8738

Mailing address

PO Box 704
1905 South Adams Street
Fulton, MS 38843-0704
Phone (662) 862-2165

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0967349Holland Health Services Inc1905 South Adams, Fulton, MS 38843Provider-performed microscopyNov 8, 2027

National Provider Directory

National Provider Directory

Locations

1905 S Adams St
Fulton, MS 38843
Phone (662) 862-2165

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1063536878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "address_2": "1905 SOUTH ADAMS STREET",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388430704",
            "telephone_number": "662-862-2165",
            "fax_number": "662-862-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S ADAMS ST",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388438738",
            "telephone_number": "662-862-2165",
            "fax_number": "662-862-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND HEALTH SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-862-2165"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R850493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.