Jack Holland is a Heber City, Utah based nurse anesthetist with 24 years of experience as Nurse Anesthetist. He completed he graduation in 2001. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Jack Holland is 9809402-4406 for Anesthesia Administration in Utah. his current practice location is Heber Valley Hospital, 1485 Us-40, Heber City. Patients can reach him at 435-654-2500. Jack Holland is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1699755231. Jack Holland is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Jack Holland speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
24+ years
Medical School Attended:
Other
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
Heber Valley Hospital, 1485 Us-40, Heber City, Utah, 84032
Phone:
435-654-2500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8224134408
Enrollment ID:
I20180507002417
NPI Number:
1699755231
NPI Enumeration Date:
19 Jan, 2006
NPI Last Update On:
26 Oct, 2021
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Holland are as mentioned below.
License Number
Specialization
State
Status
9809402-4406
Anesthesia Administration
Utah
Primary
161328
Registered Nurse
North Carolina
Secondary
821399
Anesthesia Administration
Nevada
Secondary
053081
Anesthesia Administration
North Carolina
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Northeastern Nevada Regional Hospital (290008)
Elko, NV
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jack Holland has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Legacy Anesthesia Llc (9234438649)
4
Western Anesthesia Provider Group-scherr, P.c. (6204160385)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Holland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8051521
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6127 Kingsford Ave, Park City, Utah
Zip:
84098-6317
Phone Number:
307-203-7739
Fax Number:
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Patients can reach Jack Holland at Heber Valley Hospital, 1485 Us-40, Heber City, Utah or can call to book an appointment on 435-654-2500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.