NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Sandusky Family Practice

  • Family Medicine Physician
  • Sandusky, MI
National Provider Identifier
1952285165
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILLS & DALES GENERAL HOSPITAL, INC.
Doing business as
Sandusky Family Practice
Practice address
650 W Sanilac Rd
Sandusky, MI 48471
Phone
(989) 912-6790
NPI assigned
Aug 1, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Authorized official

Name
Angela McConnachie
Title
Ceo
Phone
(989) 635-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

650 W Sanilac Rd
Sandusky, MI 48471

Mailing address

4675 Hill St
Cass City, MI 48726-1008

Other names 1

  • Sandusky Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040126000677 MI Part B Supplier - Clinic/Group Practice 8022910363 Receives reassigned benefits from 124 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cass City, MI; Sandusky, MI; Ubly, MI; Kingston, MI; Caro, MI; Bad Axe, MI

Other NPIs on the same Medicare enrollment 6

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2328332Sandusky Family Practice650 W Sanilac Road, Sandusky, MI 48471Certificate of waiverAug 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hills Dales General H34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

Locations

650 W Sanilac Rd
Sandusky, MI 48471
Phone (989) 912-6725

Practitioners & affiliated clinicians

Practitioners 1

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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1952285165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "48471",
            "telephone_number": "989-912-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "MCCONNACHIE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "989-635-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandusky Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandusky Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.