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HOLLAND HEALTH SERVICE INC
NPI 1063536878
Nurse Practitioner in Fulton, MS

Active since March 19, 2007CLIA 25D0967349 · Microscopy
1905 S ADAMS ST, FULTON, MS 38843(662) 862-2165(662) 862-2167 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holland Health Service Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLAND HEALTH SERVICE INC (NPI 1063536878) is a healthcare organization registered as a nurse practitioner in Fulton, Mississippi and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through November 8, 2027 and lists James C Holland, Owner, as its authorized official.

NPPES Registry Identity

NPI1063536878
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHOLLAND HEALTH SERVICE INC
Location Address1905 S ADAMS STFulton, MS 38843-8738
Mailing AddressPo Box 704, 1905 South Adams StreetFulton, MS 38843-0704 · (662) 862-2165 · Fax (662) 862-2167
Phone(662) 862-2165
Fax(662) 862-2167
Organization SubpartNo
Authorized OfficialJames C HollandOwner · (662) 862-2165
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 25, 2010
✔ NPI 1063536878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MS · R850493
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1905 S ADAMS ST, Fulton, MS 38843
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D0967349

Holland Health Services Inc · Fulton, MS
Active · expires Nov 8, 2027
CLIA Number25D0967349
Laboratory TypePractitioner Other
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorAmanda J. Johnson-Kelly
Laboratory Phone(662) 862-2165
Laboratory LocationHolland Health Services Inc1905 South Adams, Fulton, MS 38843
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMANDA JODY JOHNSON-KELLY DNP, FNP-BC
Nurse Practitioner (Family)
1905 S ADAMS ST
FULTON, MS 38843
Itawamba County (662) 862-2165
DANIEL HEALTH CARE, INC.
Skilled Nursing Facility
1905 S ADAMS ST
FULTON, MS 38843
Itawamba County (662) 862-2165

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holland Health Service Inc's NPI number?

The NPI number for Holland Health Service Inc is 1063536878. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Holland Health Service Inc located?

Holland Health Service Inc is located at 1905 S Adams St, Fulton, MS 38843. The listed phone number is (662) 862-2165.

What is Holland Health Service Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Holland Health Service Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 25D0967349) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holland Health Service Inc was last updated on August 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.