Provider Demographics
| NPI: | 1538109202 |
|---|---|
| Name: | HILLS & DALES GENERAL HOSPITAL, INC. |
| Entity type: | Organization |
| Organization Name: | HILLS & DALES GENERAL HOSPITAL, INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | KENNETH |
| Authorized Official - Middle Name: | E |
| Authorized Official - Last Name: | BARANSKI |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 989-912-6225 |
| Mailing Address - Street 1: | 4675 HOSPITAL DRIVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | CASS CITY |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48726-1008 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 989-912-6000 |
| Mailing Address - Fax: | 989-872-5376 |
| Practice Address - Street 1: | 6190 HOSPITAL DR |
| Practice Address - Street 2: | |
| Practice Address - City: | CASS CITY |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48726-1072 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 989-872-5010 |
| Practice Address - Fax: | 989-872-9942 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | HILLS & DALES GENERAL HOSPITAL, INC. |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2006-06-08 |
| Last Update Date: | 2013-09-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |