Organization Active NPI

Holland SC LLC

  • Ambulatory Surgical Clinic/Center
  • Holland, MI
National Provider Identifier
1982887048
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HOLLAND SC LLC
Practice address
12087 Felch Street
Holland, MI 49424
Phone
(616) 499-1100
Fax
(616) 582-5959
NPI assigned
Dec 12, 2007
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Ms. Susan R Kizirian, RN MBA
Title
VP Operations
Phone
(850) 510-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MI Primary

Addresses

Primary practice location

12087 Felch Street
Holland, MI 49424

Mailing address

12087 Felch Street
Holland, MI 49424
Phone (616) 499-1100

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1982887048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12087 FELCH STREET",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-499-1100",
            "fax_number": "616-582-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12087 FELCH STREET",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-499-1100",
            "fax_number": "616-582-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND SC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KIZIRIAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "850-510-8203",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.