MEDICARE: HILL FAMILY MEDICINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080B513530	OTHER	MI	BLUE CROSS BLUE SHIELD
2	080B513530	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1437117371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILL FAMILY MEDICINE PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1153
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48480-4153
Country	:	US
Telephone Number	:	810-603-3949
Fax Number	:	810-603-3945

Provider Business Practice Location Address
First Line	:	5100 IRISH RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-9727
Country	:	US
Telephone Number	:	810-603-3949
Fax Number	:	810-603-3945

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALEXANDER J RODRIGUEZ
Credential	:	MD
Telephone Number	:	810-603-3949

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	03/07/2017

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Directions to “HILL FAMILY MEDICINE PLLC ” Practice Location

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