Healthcare Provider Details

I. General information

NPI: 1568399244
Provider Name (Legal Business Name): HILLS & DALES GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
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: 989-912-6810
  • Fax: 989-912-6039
Mailing address:
  • Phone: 989-912-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY GENTNER
Title or Position: CFO
Credential:
Phone: 989-635-4230