Organization
HOLLAND MEDICENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA NEWHOUSE (BILLING SUPERVISOR)
(616) 392-9770
Entity
Organization
Contact information
Practice address
175 S WAVERLY RD, HOLLAND, MI 49423-7907
(616) 392-5222
(616) 392-3653
Mailing address
175 S WAVERLY RD, HOLLAND, MI 49423-7907
(616) 392-5222
(616) 392-3653
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101117840
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700G06230
HMC BCBSMI
MI
Enumeration date
02/17/2006
Last updated
08/22/2020
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