340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH230072G HOLLAND HOSPITAL (Terminated)
Print
Main Details
Name
HOLLAND HOSPITAL
Subdivision Name
Aquatic Center Rehab Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230072G
Medicare Provider Number
230072
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/29/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/19/2011
Last Recertification Date
9/8/2014
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
Holland Hospital
TERRY L. STEELE, CFO
(616) 392-5141
Primary Contact
Holland Hospital
Carol Fletcher, Sr. Director Revenue Integrity
(616) 394-3227
Addresses
Street Address
550 Maple Avenue
Holland, MI 49423
Billing Address
HOLLAND HOSPITAL
602 Michigan Avenue
Holland, MI 49423
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session