Holland Medicenter

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101117840 Issued in MI

Legal business name

HOLLAND MEDICENTER

Practice address

175 S Waverly Rd
Holland, MI 49423-7907

Phone

(616) 392-5222

Fax

(616) 392-3653

NPI assigned

Feb 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula Newhouse

Title

Billing Supervisor

Phone

(616) 392-9770

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639144231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237907",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S WAVERLY RD",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237907",
            "telephone_number": "616-392-5222",
            "fax_number": "616-392-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND MEDICENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "616-392-9770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101117840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC BCBSMI",
            "identifier": "700G06230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holland Free Health Clinic
• Holland Free Health Clinic
• Holland Haven LLC (Holland Haven)
• Holland Hospital
• Holland Medical Care & Rehabilitation PC
• Holland Opco II, LLC (Hallmark Living Holland)
• Holland Opco, LLC (Medilodge of Holland)
• Holland Pediatric Associates, PLC
• Holland Pharmacy LLC (Skip's Pharmacy Of Michigan)
• Holland SC LLC (Surgery Center of Western Michigan)

• General Practice Physician in Holland, MI
• Providers in Holland, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.