Provider Demographics
NPI:1437234382
Name:HOLLAND COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:HOLLAND COMMUNITY HOSPITAL
Other - Org Name:HOLLAND HOSPITAL
Other - Org Type:Doing Business As
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 1:602 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-4918
Practice Address - Country:US
Practice Address - Phone:616-392-5141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI00130OtherBCBSM
MIP00130OtherBCN
MI650OtherPRIORITY HEALTH
MIM019398OtherCHAMPUS INPATIENT PSYCH
MI0N43290018Medicare PIN
MI0M98550004Medicare UPIN
MI0N43290002Medicare PIN
MIP00130OtherBCN
MI0M01290001Medicare PIN
MI00130OtherBCBSM
MI0M98550003Medicare PIN
MI0M01290P01Medicare PIN
MI0M01290009Medicare PIN
MI23S072Medicare Oscar/Certification
MI0M01290016Medicare PIN
MI0M01290014Medicare PIN
MIM019398OtherCHAMPUS INPATIENT PSYCH
MI0M98550005Medicare PIN
MI0N43290007Medicare PIN
MI0N43290008Medicare PIN