Healthcare Provider Details

I. General information

NPI: 1629804737
Provider Name (Legal Business Name): HILLS & DALES GENERAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

684 N PORT CRESCENT ST
BAD AXE MI
48413-1275
US

IV. Provider business mailing address

4675 HILL ST
CASS CITY MI
48726-1008
US

V. Phone/Fax

Practice location:
  • Phone: 989-912-6575
  • Fax:
Mailing address:
  • Phone: 989-912-6206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY GENTNER
Title or Position: CFO
Credential:
Phone: 810-376-7024