Healthcare Provider Details
I. General information
NPI: 1629907423
Provider Name (Legal Business Name): HILLS AND DALES GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2050 E CARO RD
CARO MI
48723-9320
US
IV. Provider business mailing address
4675 HILL ST
CASS CITY MI
48726-1008
US
V. Phone/Fax
- Phone: 989-912-6800
- Fax:
- Phone: 989-912-6800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIMBERLY
GENTNER
Title or Position: CFO
Credential:
Phone: 989-635-4230