MEDICARE: HILLS & DALES GENERAL HOSPITAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1851664999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLS & DALES GENERAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	4674 HILL ST
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1009
Country	:	US
Telephone Number	:	989-872-5010
Fax Number	:	989-872-9942

Provider Business Practice Location Address
First Line	:	4674 HILL ST
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1009
Country	:	US
Telephone Number	:	989-872-5010
Fax Number	:	989-872-9942

Authorized Official
Title or Position	:	CHEIF FINANCIAL OFFICER
Name	:	KENNETH BARANSKI
Credential	:
Telephone Number	:	989-912-6225

Provider Enumeration Date	:	02/21/2012
Last Update Date	:	02/21/2012

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