340B Drug Pricing Program Database
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DSH230072E HOLLAND HOSPITAL (Active)
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Main Details
Name
HOLLAND HOSPITAL
Subdivision Name
Urgent Care - LMC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230072E
Medicare Provider Number
230072
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/29/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/19/2011
Last Recertification Date
9/4/2024
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
3232 N. Wellness Drive
Holland, MI 49424
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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