Holland Community Hospital
Organization Active NPI Gastroenterology Physician · Holland, MI
NPI 1609577394 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1609577394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- Legal business name
- HOLLAND COMMUNITY HOSPITAL
- Practice address
- 577 Michigan Ave
Holland, MI 49423-4911 - Phone
- (616) 546-9093
- Fax
- (616) 393-5305
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
Authorized official
- Name
- Alexander Roehling
- Title
- Cfo
- Phone
- (616) 394-3456
Other NPIs on the same Medicare enrollment 28
Practitioners 8
-
Cale M Sebald, D.O.
-
Lucas Triemstra, P.A.-C
-
Seper Dezfoli, M.D.
-
Amy J Dichiara, MD
-
Hwan Young Yoo, MD
-
Samantha Mudd, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000484 | MI | Part B Supplier - Clinic/Group Practice | 0446157291 |
Receives reassigned benefits from 167 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Holland, MI; Zeeland, MI; Saugatuck, MI; Hudsonville, MI; Grand Haven, MI |
National Provider Directory
Locations
577 Michigan Ave
Ste 202
Holland, MI 49423
Phone (616) 394-0673
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician |
207RG0100X | Yes |
Addresses
Primary practice location
577 Michigan Ave
Holland, MI 49423-4911
Mailing address
577 Michigan Ave
Holland, MI 49423-4911
Phone (616) 546-9093
Other names
- Holland Hospital Gastroenterology
Other providers in Holland, MI
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
- Holland Community Hospital
All providers in Holland, MI · Gastroenterology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.