Organization Active NPI

Hillsdale Medical Associates, PLC

  • Rural Health Clinic/Center
  • Hillsdale, MI
National Provider Identifier
1902841208
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HILLSDALE MEDICAL ASSOCIATES, PLC
Practice address
1456 Hudson Rd
Hillsdale, MI 49242-8314
Phone
(517) 439-0200
Fax
(517) 439-1050
NPI assigned
Jun 19, 2006
Last updated
Jan 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Dr. Dan E McCance, D.O.NPI 1851442099
Title
Owner
Phone
(517) 439-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1456 Hudson Rd
Hillsdale, MI 49242-8314

Mailing address

1456 Hudson Rd
Hillsdale, MI 49242-8314
Phone (517) 439-0200

Other identifiers 1

IdentifierTypeStateIssuer
4259357MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000708 MI Part B Supplier - Clinic/Group Practice 7416902853 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hillsdale, MI

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member of 1

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

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71454

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 29, 2024 Change of OwnershipThis provider was the seller Hillsdale Medical AssociatesCCN 238778, MI, NPI 1801618608

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1902841208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 HUDSON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428314",
            "telephone_number": "517-439-0200",
            "fax_number": "517-439-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 HUDSON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428314",
            "telephone_number": "517-439-0200",
            "fax_number": "517-439-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE MEDICAL ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "MCCANCE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-439-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4259357",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.