Organization Active NPI

Holland Health Services, Inc.

Doing business as Holland RST

  • Durable Medical Equipment & Medical Supplies
  • Mount Vernon, WA
National Provider Identifier
1841221850
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOLLAND HEALTH SERVICES, INC.
Doing business as
Holland RST
Practice address
1911 E Division St Ste C
Mount Vernon, WA 98274-6703
Phone
(360) 424-8607
Fax
(360) 424-7430
NPI assigned
Jul 6, 2006
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1911 E Division St Ste C
Mount Vernon, WA 98274-6703

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
9029927MedicaidWA

Other names 1

  • Holland RST Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1841221850",
    "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 STE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746703",
            "telephone_number": "360-424-8607",
            "fax_number": "360-424-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-02-10",
        "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
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029927",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland RST",
            "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 10, 2016; 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.