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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1538109202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLS & DALES GENERAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	4675 HOSPITAL DRIVE
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1008
Country	:	US
Telephone Number	:	989-912-6000
Fax Number	:	989-872-5376

Provider Business Practice Location Address
First Line	:	6190 HOSPITAL DR
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1072
Country	:	US
Telephone Number	:	989-872-5010
Fax Number	:	989-872-9942

Authorized Official
Title or Position	:	CFO
Name	:	MR. KENNETH E BARANSKI
Credential	:
Telephone Number	:	989-912-6225

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	09/03/2013

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