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General NPI Number Information
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NPI Number | 1801618608
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Entity Type | Organization
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Legal Business Name | HILLSDALE COMMUNITY HEALTH CENTER
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1456 HUDSON RD
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City | HILLSDALE
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State | MI
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Zip | 49242-8314
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Country | US
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Telephone | 517-439-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 168 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-2081
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Country | US
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Telephone | 517-437-4451
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JEREMIAH JASON HODSHIRE
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Credential |
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Telephone | 517-437-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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