Organization Active NPI

Holland Health Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mount Vernon, WA
National Provider Identifier
1376578773
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLLAND HEALTH SERVICES, INC
Practice address
1911 E Division St
Suite a
Mount Vernon, WA 98274-6703
Phone
(360) 424-7829
Fax
(360) 424-9053
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Jerry A Willins, RPH
Title
President/Ceo
Phone
(360) 424-7829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1911 E Division St
Suite a
Mount Vernon, WA 98274-6703

Mailing address

PO Box 1406
Mount Vernon, WA 98273-1406
Phone (360) 424-7829

Other identifiers 2

IdentifierTypeStateIssuer
9029927MedicaidWA
3580HOOtherWAREGENCE

Other names 1

  • Holland Homecare Mount Vernon Doing business as

National Provider Directory

National Provider Directory

Locations

1911 E Division St
Ste A
Mount Vernon, WA 98274
Phone (360) 424-4356

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1376578773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1406",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982731406",
            "telephone_number": "360-424-7829",
            "fax_number": "360-424-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 E DIVISION ST",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746703",
            "telephone_number": "360-424-7829",
            "fax_number": "360-424-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "WILLINS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "360-424-7829",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029927",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "3580HO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Homecare Mount Vernon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.