Healthcare Provider Details

I. General information

NPI: 1972534360
Provider Name (Legal Business Name): HILLSDALE COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2966 W CARLETON RD
HILLSDALE MI
49242-1363
US

IV. Provider business mailing address

2966 W CARLETON RD
HILLSDALE MI
49242-1363
US

V. Phone/Fax

Practice location:
  • Phone: 517-437-8371
  • Fax:
Mailing address:
  • Phone: 517-437-8371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK GROSS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 517-437-4451