NPIMap

Organization Active NPI

Hillsdale Community Health Center

Doing business as Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
National Provider Identifier
1730115940
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HILLSDALE COMMUNITY HEALTH CENTER
Doing business as
Hillsdale Hospital
Practice address
168 S Howell St
Hillsdale, MI 49242
Phone
(517) 437-5232
Fax
(517) 437-0246
NPI assigned
Jun 23, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mark Gross
Title
Chief Financial Officer
Phone
(517) 437-5232

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

168 S Howell St
Hillsdale, MI 49242

Mailing address

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-5232

Other names 1

  • Hillsdale Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040805000518 MI Part B Supplier - Clinic/Group Practice 7214846260 Receives reassigned benefits from 121 practitioners
4 other NPIs on this enrollment
Practice locations: Hillsdale, MI; Reading, MI
O20110110000800 MI Part A Provider - Hospital 7214846260 Practice locations: Hillsdale, MI
O20251104001359 CA Part B Supplier - Clinic/Group Practice 7214846260 Receives reassigned benefits from 1 practitioner
Practice locations: Coto de Caza, CA
O20251125004244 IL Part B Supplier - Clinic/Group Practice 7214846260 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730115940. Details of each certification follow.

Hospital certification: CCN 230037

Legal name
HILLSDALE COMMUNITY HEALTH CENTER
Doing business as
HILLSDALE HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 5, 2016
Beds
86
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 21, 1940 in MI
Enrollment address
168 S Howell St
Hillsdale, MI 49242-2040
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hillsdale HospitalCCN 230037 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

168 S Howell St
Fl 3
Hillsdale, MI 49242

2966 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-8371

451 Hidden Meadows Dr
Ste 140
Hillsdale, MI 49242
Phone (517) 314-2990

451 Hidden Meadows Dr
Ste 210
Hillsdale, MI 49242
Phone (517) 437-0499

451 Hidden Meadows Dr
Ste 230
Hillsdale, MI 49242
Phone (517) 437-2637

451 Hidden Meadows Dr
Ste 290
Hillsdale, MI 49242
Phone (269) 226-5050

61 W Carleton Rd
#120
Hillsdale, MI 49242

181 E Chicago St
Quincy, MI 49082
Phone (517) 639-7300

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David D Gossage Individual Corporate Director Nov 9, 2010
Leanne Christine Rumler Individual Corporate DirectorBoard Member Nov 6, 2019
Gregory Bailey Individual Corporate Director Nov 9, 2010
Robert Henthorne Individual Corporate Director Nov 9, 2010
Karlye Horton Individual Corporate DirectorDirector Nov 1, 2018
Craig Connor Individual Corporate Director Nov 9, 2010
Dale R McCririe Individual Corporate Director Nov 9, 2010
Kimberly Blythe Individual Corporate DirectorDirector Dec 1, 2015
Jeremiah Hodshire Individual Corporate DirectorPresident/Ceo Jun 1, 2020 100%
Operational/Managerial ControlCeo/ President Jun 1, 2020 100%
Diane Philipp Individual Corporate Director Jan 1, 2009
Susan Mary Smith Individual Corporate Director Feb 25, 2021
Richard Moore Individual Corporate DirectorBoard Member Oct 1, 2011

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillsdale Health & WellnessHillsdale, MI, CCN 238725 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 18, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 124

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 124

Affiliated clinicians 184

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 184

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1730115940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492422040",
            "telephone_number": "517-437-5232",
            "fax_number": "517-437-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 S HOWELL ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "49242",
            "telephone_number": "517-437-5232",
            "fax_number": "517-437-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "517-437-5232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsdale Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillsdale Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.