NPIMap

Organization Active NPI

Spring Arbor University

Doing business as Holton Health and Wellness Center

  • Family Medicine Physician
  • Spring Arbor, MI
National Provider Identifier
1821347741
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SPRING ARBOR UNIVERSITY
Doing business as
Holton Health and Wellness Center
Practice address
106 East Main Street
Spring Arbor University
Spring Arbor, MI 49283-9701
Phone
(517) 750-6352
Fax
(517) 750-6625
NPI assigned
Sep 6, 2012
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRING ARBOR UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dan Lee Vanderhill
Title
Associate V.P. for Student Developm
Phone
(517) 750-6367

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X

Addresses

Primary practice location

106 East Main Street
Spring Arbor University
Spring Arbor, MI 49283-9701

Mailing address

106 East Main Street
C/O Spring Arbor University
Spring Arbor, MI 49283-9701
Phone (517) 750-6352

Other names 1

  • HOLTON HEALTH AND WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory
Part of
Spring Arbor University

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1821347741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 EAST MAIN STREET",
            "address_2": "C/O SPRING ARBOR UNIVERSITY",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839701",
            "telephone_number": "517-750-6352",
            "fax_number": "517-750-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 EAST MAIN STREET",
            "address_2": "SPRING ARBOR UNIVERSITY",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839701",
            "telephone_number": "517-750-6352",
            "fax_number": "517-750-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING ARBOR UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING ARBOR UNIVERSITY",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "VANDERHILL",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ASSOCIATE V.P. FOR STUDENT DEVELOPM",
        "authorized_official_telephone_number": "517-750-6367"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLTON HEALTH AND WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.