# HOLLAND MEDICENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639144231
- **Authorized official:** MRS. PAULA NEWHOUSE (BILLING SUPERVISOR)
- **Authorized official phone:** (616) 392-9770

## Contact information

- **Practice address:** 175 S WAVERLY RD, HOLLAND, MI 49423-7907
- **Practice address phone:** (616) 392-5222
- **Practice address fax:** (616) 392-3653
- **Mailing address:** 175 S WAVERLY RD, HOLLAND, MI 49423-7907
- **Mailing address phone:** (616) 392-5222
- **Mailing address fax:** (616) 392-3653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101117840 | MI | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 700G06230 | HMC BCBSMI | MI |