Basic Information
| Provider Information | |||||||||
| NPI: | 1568702983 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOLLAND COMMUNITY HOSPITAL | ||||||||
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| OtherOrganizationName: | HOME HEALTH PROFESSIONAL GROUP | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 602 MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | HOLLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494234918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6163925141 | ||||||||
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| Practice Location | |||||||||
| Address1: | 130 CENTRAL AVE | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | HOLLAND | ||||||||
| State: | MI | ||||||||
| PostalCode: | 494232852 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6163943346 | ||||||||
| FaxNumber: | 6163943629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2013 | ||||||||
| LastUpdateDate: | 02/21/2013 | ||||||||
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| AuthorizedOfficialLastName: | STEELE | ||||||||
| AuthorizedOfficialFirstName: | TERRY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO/VP FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 6163925141 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.