NPIMap

Organization Active NPI

Holland Free Health Clinic

  • Public Health or Welfare Agency
  • Holland, MI
National Provider Identifier
1114358140
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HOLLAND FREE HEALTH CLINIC
Practice address
99 W 26TH St
Holland, MI 49423-4970
Phone
(616) 392-3610
Fax
(616) 392-3632
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Jeff Compagner
Title
Executive Director
Phone
(616) 392-3610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

99 W 26TH St
Holland, MI 49423-4970

Mailing address

99 W 26TH St
Holland, MI 49423-4970
Phone (616) 392-3610

National Provider Directory

National Provider Directory
Tax ID family
Holland Free Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 W 26th St
Holland, MI 49423
Phone (616) 218-5795

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1114358140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W 26TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234970",
            "telephone_number": "616-392-3610",
            "fax_number": "616-392-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W 26TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234970",
            "telephone_number": "616-392-3610",
            "fax_number": "616-392-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND FREE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "COMPAGNER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-392-3610"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.