Hillsdale Community Health Center
Organization Active NPI Rural Health Clinic/Center · Litchfield, MI
NPI 1073114682 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1073114682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- HILLSDALE COMMUNITY HEALTH CENTER
- Practice address
- 535 Marshall St
Litchfield, MI 49252-9145 - Phone
- (517) 330-3000
- NPI assigned
- Nov 2, 2020
- Organization subpart
- No
Authorized official
- Name
- Mark Anthony Gross
- Title
- Cfo
- Phone
- (517) 437-5232
Other NPIs on the same Medicare enrollment 4
Member of 1
Practitioners 1
-
Sabrina Ruth Panich, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040805000518 | MI | Part B Supplier - Clinic/Group Practice | 7214846260 |
Receives reassigned benefits from 121 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hillsdale, MI; Reading, MI |
National Provider Directory
Locations
535 Marshall St
Litchfield, MI 49252
Phone (517) 330-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
535 Marshall St
Litchfield, MI 49252-9145
Mailing address
168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5232
Other names
- Litchfield Health Clinic
Other providers in Litchfield, MI
- Community Health Center of Branch County
- Troy D Davis
- Charandeep Singh Ghotra
- Cody Hawkes
- Marisol Ann Seys Herr
- Hopps Colonial Pharmacy
- Patsy Ruth Jones
- Beverly Knapp
- Phyllis Lallier
- Litchfield Family Medicine PC
All providers in Litchfield, MI · Rural Health Clinic/Center in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.