Healthcare Provider Details

I. General information

NPI: 1881147700
Provider Name (Legal Business Name): HILLS & DALES GENERAL HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2016
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4675 HILL ST
CASS CITY MI
48726-1008
US

IV. Provider business mailing address

4675 HILL ST
CASS CITY MI
48726-1008
US

V. Phone/Fax

Practice location:
  • Phone: 989-872-2121
  • Fax: 989-872-5376
Mailing address:
  • Phone: 989-872-2121
  • Fax: 989-872-5376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number StateMI

VIII. Authorized Official

Name: KENNETH E BARANSKI
Title or Position: VP OF FINANCE/CFO
Credential: CPA
Phone: 989-912-6225