HOLLAND COMMUNITY HOSPITAL (NPI# 1912487638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912487638 |
| Entity Type | Organization |
| Organization Name | HOLLAND COMMUNITY HOSPITAL |
| Other Organization Name | WOUND CARE CLINIC |
| Practice Address |
602 Michigan Ave Holland MI 49423-4918 |
| Mailing Address |
175 S Waverly Rd Holland MI 49423-7906 |
| Practice Telephone | 6164944251 |
| Practice Fax Number | 6163943318 |
| Mailing Telephone | 6163553896 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |
| Authorized Official Name | MARY WOOD (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 6163553896 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOLLAND COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wound Care Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219743 | Holland Community Hospital | Podiatrist | 3299 N Wellness Dr Ste 230, Holland, MI 49424-7271 | 2018-03-19 |
| 1023212438 | Holland Community Hospital | Clinic/Center | 3235 Wellness Dr, Holland, MI 49424 | 2007-06-12 |
| 1477629780 | Holland Community Hospital | Home Health | 750 E 40th St, Holland, MI 49423-5342 | 2006-11-28 |
| 1447871454 | Holland Community Hospital | Internal Medicine | 8300 Westpark Way, Zeeland, MI 49464-7901 | 2020-04-30 |
| 1437520707 | Holland Community Hospital | Social Worker | 602 Michigan Ave, Holland, MI 49423-4918 | 2015-10-13 |
| 1265840425 | Holland Community Hospital | Internal Medicine | 577 Michigan Ave, Suite 203, Holland, MI 49423-4911 | 2014-07-31 |
| 1568702983 | Holland Community Hospital | Internal Medicine | 130 Central Ave, Suite 220, Holland, MI 49423-2852 | 2013-02-21 |
| 1497090617 | Holland Community Hospital | Hospitalist | 602 Michigan Ave, Holland, MI 49423-4918 | 2012-11-28 |
| 1326317108 | Holland Community Hospital | Obstetrics & Gynecology | 8300 Westpark Way, Zeeland, MI 49464-7901 | 2011-12-22 |
| 1174800437 | Holland Community Hospital | Family Medicine | 904 Washington Ave, Holland, MI 49423-7724 | 2011-11-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOLLAND COMMUNITY HOSPITAL | 602 Michigan Ave, Holland, MI 49423-4999 |
| Street Address |
602 MICHIGAN AVE |
| City | HOLLAND |
| State | MI |
| Zip Code | 49423-4918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749873 | Gregory A Bernath | Internal Medicine | 602 Michigan Ave, Holland, MI 49423-4918 | 2005-08-31 |
| 1962044115 | Kellie Timmer | Physician Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-10-09 |
| 1407407547 | Erin Rene Vochaska | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-09-20 |
| 1134783335 | Trisha Rae Meyers | Social Worker | 602 Michigan Ave, Holland, MI 49423-4918 | 2019-04-24 |
| 1013487271 | Nicholas Russell | Physical Therapist | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-30 |
| 1316415458 | David John Stearns | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-11-07 |
| 1710452172 | Linda Nichols | Physical Therapy Assistant | 602 Michigan Ave, Holland, MI 49423 | 2018-10-11 |
| 1932684172 | Courtney M Kraker | Nurse Practitioner | 602 Michigan Ave, Holland, MI 49423-4918 | 2018-10-02 |
| 1376030411 | Kurt Feringa | Nurse Anesthetist, Certified Registered | 602 Michigan Ave, Holland, MI 49423 | 2018-04-14 |
| 1144732843 | Megan Elizabeth Keyser | Nurse Anesthetist, Certified Registered | 602 Michigan Ave, Holland, MI 49423-4918 | 2017-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996714 | Ella Rose Marx | Social Worker | 412 Century Lane, Holland, MI 49423 | 2019-08-02 |
| 1245720424 | Amanda Ann Allen | Behavior Technician | 165 Sorrento Drive, Holland, MI 49423 | 2018-05-14 |
| 1588194237 | Emily Amila Geurink | Physical Therapy Assistant | 4037 43rd St, Holland, MI 49423 | 2017-06-15 |
| 1285081737 | Kara Draayer | Nurse Anesthetist, Certified Registered | 25 W 8th St Ste 200, Holland, MI 49423 | 2016-05-14 |
| 1851776413 | Sara Ty | Occupational Therapist | 789 South Meadow Court, Holland, MI 49423 | 2015-07-24 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1437536497 | Deborah Donnelly | Physical Therapy Assistant | 1221 16th Street, Holland, MI 49423 | 2015-04-29 |
| 1366846024 | John Nguyen | Pharmacist | 747 E 16th St, Holland, MI 49423 | 2014-10-09 |
| 1003257817 | Courtney Young | Social Worker | 96 W 15 Street Midtown Center- Arbor Circle, Holland, MI 49423 | 2013-07-09 |
| 1689014391 | Jason Pettet | Acupuncturist | 500 West 17th St., Holland, MI 49423 | 2013-06-26 |
| Find all providers in zip 49423 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497090617 | Holland Community Hospital | Hospitalist | 602 Michigan Ave, Holland, MI 49423-4918 | 2012-11-28 |
| 1720232697 | Holland Community Hospital | Hospitalist | 3235 N Wellness Dr, Suite 120b, Holland, MI 49424-7264 | 2008-11-05 |
| 1184814824 | Michigan Pediatric Hospitalist, PC | Hospitalist | 602 Michigan Ave, Boven Birth Center, Holland, MI 49423 | 2007-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343788 | Adult Patient Care Pllc | Hospitalist | 5496 Saint Andrew Dr, Clarkston, MI 48348-4836 | 2020-07-21 |
| 1790218360 | Eileen Chang | Hospitalist | 12745 S Saginaw St # 806-196, Grand Blanc, MI 48439-2437 | 2017-04-10 |
| 1588921357 | Erik Hemingway | Hospitalist | 1215 E. Michigan Ave., 7th Fl Tower, Lansing, MI 48912-1811 | 2012-04-18 |
| 1245533967 | Hussein Ajrouche, M.d., P.C. | Hospitalist | 12740 W Warren Ave Ste 200, Dearborn, MI 48126-4530 | 2010-12-20 |
| 1316178718 | Veni Jhansi Peram | Hospitalist | 20015 Boardwalk Blvd, Southfield, MI 48075-1158 | 2009-08-03 |
| 1932330511 | Aisha Zakia Rush | Hospitalist | 2 Hurley Plz Ste 212, Flint, MI 48503-5905 | 2009-07-31 |
| 1972773695 | Edward Peszko | Hospitalist | 307 East Houghton Ave, West Branch, MI 48661-1127 | 2008-03-10 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| 1598874612 | Sripriya Ganesan | Hospitalist | 1675 Leahy St Ste 304b, Muskegon, MI 49442-5543 | 2006-08-30 |
| 1508971581 | Inpatient Medical Specialists, Plc | Hospitalist | 1675 Leahy St Ste 404b, Muskegon, MI 49442-5544 | 2006-08-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.