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HOLLAND MEDICENTER NPI 1639144231


NPI Information

NPI: 1639144231
Provider Name: HOLLAND MEDICENTER
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 23D0859308

Address:
175 S WAVERLY RD
HOLLAND, MI
ZIP 49423
Phone: (616) 392-5222
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HOLLAND MEDICENTER is a general practice in Holland, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOLLAND MEDICENTER NPI is 1639144231. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 S WAVERLY RD
HOLLAND, MI
ZIP 49423-907
Phone: (616) 392-5222
Fax: (616) 392-3653

The provider's authorized official is Paula Newhouse .
The authorized official title is Billing Supervisor and has the following contact phone number (616) 392-9770.

The CLIA number assigned to this NPI record is 23D0859308 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice5101117840MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1700G06230OTHERMICHIGANHMC BCBSMI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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