Provider Demographics
NPI:1336508183
Name:HOLLAND HOSPITAL
Entity Type:Organization
Organization Name:HOLLAND HOSPITAL
Other - Org Name:HOLLAND HOSPITAL - CFGH
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO - VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-392-5141
Mailing Address - Street 1:602 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-4918
Mailing Address - Country:US
Mailing Address - Phone:616-392-5141
Mailing Address - Fax:
Practice Address - Street 1:175 S WAVERLY RD
Practice Address - Street 2:SUITE A
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-7906
Practice Address - Country:US
Practice Address - Phone:616-394-3344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL435401282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital