HOLLAND PEDIATRIC ASSOCIATES, PLC
NPI 1912970922
Specialist in Holland, MI

Active since February 09, 2006CLIA 23D0704358 · Waiver
926 S. WASHINGTON AVE, BUILDING C, HOLLAND, MI 49423(616) 393-0166(616) 393-8821 Get Directions Write a Review

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holland Pediatric Associates, Plc NPPES

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

HOLLAND PEDIATRIC ASSOCIATES, PLC (NPI 1912970922) is a healthcare organization registered as a specialist in Holland, Michigan and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Lisa Vandenbosch, Administrative Coordinator, as its authorized official.

NPPES Registry Identity

NPI1912970922
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameHOLLAND PEDIATRIC ASSOCIATES, PLC
Location Address926 S. WASHINGTON AVE, BUILDING CHolland, MI 49423-7725
Mailing Address926 S. Washington Ave, Building CHolland, MI 49423-7725 · (616) 393-0166 · Fax (616) 393-8821
Fax(616) 393-8821
Organization SubpartNo
Authorized OfficialLisa VandenboschAdministrative Coordinator · (616) 393-0166
Enumeration DateFebruary 9, 2006
Last NPPES UpdateJuly 7, 2015
NPI 1912970922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
926 S. WASHINGTON AVE, Holland, MI 49423

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

Accepted Insurance

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 of Waiver 23D0704358

Holland Pediatric Associates Plc · Holland, MI
Active · expires Apr 27, 2027
CLIA Number23D0704358
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorKathryn M. Davis
Laboratory Phone(616) 393-0166
Laboratory LocationHolland Pediatric Associates Plc926 South Washington Avenue Building C, Holland, MI 49423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics
926 S. WASHINGTON AVE, BLDG C
HOLLAND, MI 49423

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 Pediatric Associates, Plc's NPI number?

The NPI number for Holland Pediatric Associates, Plc is 1912970922. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Holland Pediatric Associates, Plc located?

Holland Pediatric Associates, Plc is located at 926 S. Washington Ave Building C, Holland, MI 49423. The listed phone number is (616) 393-0166.

What is Holland Pediatric Associates, Plc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Holland Pediatric Associates, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0704358) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Holland Pediatric Associates, Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holland Pediatric Associates, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holland Pediatric Associates, Plc was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.