Jack Holland is a Registered Nurse in Heber City, Utah. Jack Holland practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Jack Holland is 1699755231. The last update date is 2021-10-26.
Jack Holland's current location address is Heber Valley Hospital, Heber City, Utah. You can contact this provider via phone number 4356542500. The mailing address for Jack Holland is Heber Valley Hospital, Heber City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Holland |
|---|---|
| Address | Heber Valley Hospital, Heber City, Utah |
| Phone Number | 4356542500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1699755231 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2021-10-26 |
Provider Mailing Address Detail
| Address | Heber Valley Hospital |
|---|---|
| City | Heber City |
| State | Utah (UT) |
| Post Code | 84032 |
| Phone Number | 4356542500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 161328 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8051521 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Holland by the Centers for Medicare & Medicaid Services?
The Jack Holland has been issued the NPI (National Provider Identifier) 1699755231 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Holland?
The Jack Holland is situated at Heber Valley Hospital, in the city of Heber City, state of UT, with the zip code 84032.
What is Jack Holland's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack Holland is Registered Nurse, and the taxonomy code that classifies this field of practice is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699755231 to Jack Holland?
The Centers for Medicare & Medicaid Services originally issued the 1699755231 to Jack Holland on 2006-01-19.
When was the information related to Jack Holland most recently updated or refreshed?
The details pertaining to the Jack Holland, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-26.