340B Drug Pricing Program Database
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DSH230072AG HOLLAND HOSPITAL (Terminated)
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Main Details
Name
HOLLAND HOSPITAL
Subdivision Name
Urgent Care - HHMB
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH230072AG
Medicare Provider Number
230072
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/12/2015
Last Recertification Date
9/11/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
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
8300 Westpark Way
Zeeland, MI 49464
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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