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RRC230037-01 Hillsdale Community Health Center (Terminated)
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Main Details
Name
Hillsdale Community Health Center
Subdivision Name
HCHC Infusion Center
Type
Rural Referral Center
Rural
Yes
340B ID
RRC230037-01
Medicare Provider Number
230037
Outpatient Facility Provider Number
230037
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
9/11/2018
Termination Date
Termination Reason
1/1/2019
Site closure
Contacts
Authorizing Official
Hillsdale Hospital
Mark Gross, CFO
(517) 437-5232
Primary Contact
Hillsdale Hospital
PJ Yanosko, Director of Pharmacy
(517) 437-5241
Addresses
Street Address
451 Hidden Meadows Drive
Suite 160
Hillsdale, MI 49242
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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