340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
DSH230072 HOLLAND HOSPITAL (Active)
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Main Details
Name
HOLLAND HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230072
Medicare Provider Number
230072
Additional Details
Current Program Status
Active
Registration Date
9/26/2011
Participating Start Date
1/1/2012
Participating Approval Date
11/14/2011
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Holland Hospital
Mark Pawlak, President
(616) 392-5141
Primary Contact
Holland Hospital
Zachary C Tamminga, Director Finance Administration
(616) 395-4472
Addresses
Street Address
602 MICHIGAN AVENUE
HOLLAND, MI 49423-4999
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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