NPIMap

Organization Active NPI

Holland Community Hospital

Doing business as Holland Hospital

  • General Acute Care Hospital
  • Holland, MI
National Provider Identifier
1871672618
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HOLLAND COMMUNITY HOSPITAL
Doing business as
Holland Hospital
Practice address
602 Michigan Ave
Holland, MI 49423-4918
Phone
(616) 392-5141
Fax
(616) 394-3729
NPI assigned
Nov 3, 2006
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Mr. Alex Roehling
Title
Chief Financial Officer
Phone
(616) 392-5141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
General Acute Care Hospital 282N00000X Primary
Specialist 174400000X

Addresses

Primary practice location

602 Michigan Ave
Holland, MI 49423-4918

Mailing address

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 392-5141

Other practice location 1

3232 N Wellness Dr Bldg B
Holland, MI 49424-8027
Phone (616) 494-4250

Other identifiers 5

IdentifierTypeStateIssuer
30 1898523MedicaidMI
650OtherMIPRIORITY HEALTH
P00130OtherMIBCN
00130OtherMIBCBSM
40 1898541MedicaidMI

Other names 1

  • Holland Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20071205000550 MI Part A Provider - Hospital 0446157291 Practice locations: Holland, MI; Hudsonville, MI; Saugatuck, MI; Zeeland, MI; Grand Haven, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871672618. Details of each certification follow.

Hospital certification: CCN 230072

Legal name
HOLLAND COMMUNITY HOSPITAL
Doing business as
HOLLAND HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 9, 2015
Beds
193
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
602 Michigan Ave
Holland, MI 49423-4918
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

Care Compare: Hospital

Medicare Care Compare
Listed as
Holland HospitalCCN 230072 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

3232 N Wellness Dr
Bldg B
Holland, MI 49424
Phone (616) 494-4250

854 Washington Ave
Bldg B
Holland, MI 49423
Phone (616) 355-3926

854 Washington Ave
Ste 150
Holland, MI 49423
Phone (616) 355-3863

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carol Fletcher Individual W-2 Managing Employee Apr 1, 2010
Alexander V Roehling Individual Corporate OfficerChief Financial Officer Apr 1, 2021
W-2 Managing EmployeeChief Financial Officer Apr 1, 2021
Mark Pawlak Individual W-2 Managing Employee Dec 15, 2002
Patti Vandort Individual W-2 Managing Employee Apr 30, 2001
Zachary Tamminga Individual W-2 Managing EmployeeDirector - Reimbursment Apr 1, 2013

Practitioners & affiliated clinicians

Practitioners 84

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.

View all 84

Affiliated clinicians 426

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 426

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1871672618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234918",
            "telephone_number": "616-392-5141",
            "fax_number": "616-394-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MICHIGAN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234918",
            "telephone_number": "616-392-5141",
            "fax_number": "616-394-3729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3232 N Wellness Dr Bldg B",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494248027",
            "country_code": "US",
            "telephone_number": "616-494-4250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLAND COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "ROEHLING",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-392-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30 1898523",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P00130",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "00130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40 1898541",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holland Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holland Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.