Healthcare Provider Details

I. General information

NPI: 1801618608
Provider Name (Legal Business Name): HILLSDALE COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2024
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1456 HUDSON RD
HILLSDALE MI
49242-8314
US

IV. Provider business mailing address

168 S HOWELL ST
HILLSDALE MI
49242-2081
US

V. Phone/Fax

Practice location:
  • Phone: 517-439-0200
  • Fax:
Mailing address:
  • Phone: 517-437-4451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEREMIAH JASON HODSHIRE
Title or Position: PRESIDENT/CEO
Credential:
Phone: 517-437-5141