HOLLAND HEALTH SERVICE INC
NPI 1063536878
Nurse Practitioner in Fulton, MS
NPI Status: Active since March 19, 2007
Contact Information
1905 S ADAMS ST
FULTON, MS
ZIP 38843
Phone: (662) 862-2165
Fax: (662) 862-2167
- Organization
- Nurse Practitioner
- CLIA Number: 25D0967349
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 11-08-2027
About HOLLAND HEALTH SERVICE INC
This page provides the complete NPI Profile along with additional information for Holland Health Service Inc, a provider established in Fulton, Mississippi operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1063536878 assigned on March 2007. The practitioner's primary taxonomy code is 363L00000X with license number R850493 (MS). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is James C Holland (Owner)
- NPI
- 1063536878
- Provider Name
- HOLLAND HEALTH SERVICE INC
- Entity Type
- Organization
- Location Address
- 1905 S ADAMS ST FULTON, MS 38843
- Location Phone
- (662) 862-2165
- Location Fax
- (662) 862-2167
- Mailing Address
- PO BOX 704 1905 SOUTH ADAMS STREET FULTON, MS 38843
- Mailing Phone
- (662) 862-2165
- Mailing Fax
- (662) 862-2167
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2007
- Last Update Date
- 08-25-2010
- Code Navigator
A nurse practitioner (NP) like Holland Health Service Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R850493
- License State
- MS
- Taxonomy Description
- (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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D0967349
- Facility Type
- Practitioner Other
- Certificate Effective Date
- November 09, 2025
- Certificate Expiration Date
- November 08, 2027
- Laboratory Director
- AMANDA J. JOHNSON-KELLY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Holland Health Service Inc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063536878, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
FULTON, MS 38843
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063536878, enumerated as an "organization" on March 19, 2007.
The provider is located at 1905 S ADAMS ST FULTON, MS 38843 and the phone number is (662) 862-2165.
Nurse Practitioner with taxonomy code 363L00000X.
