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RRC230037-00 Hillsdale Community Health Center (Active)
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Main Details
Name
Hillsdale Community Health Center
Subdivision Name
Hillsdale Hospital
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230037-00
Medicare Provider Number
230037
Additional Details
Current Program Status
Active
Registration Date
3/13/2012
Participating Start Date
7/1/2012
Participating Approval Date
5/30/2012
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Hillsdale Hospital
Mark Gross, CFO
(517) 437-5232
Primary Contact
Hillsdale Hospital
Jeff Kauffman, Director of Pharmacy
(517) 437-5239
Addresses
Street Address
168 S. Howell Street
Hillsdale, MI 49242
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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