Provider Demographics
NPI:1003132713
Name:HILLS & DALES GENERAL HOSPITAL
Entity Type:Organization
Organization Name:HILLS & DALES GENERAL HOSPITAL
Other - Org Name:HILLS & DALES ORTHOPEDIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-912-6225
Mailing Address - Street 1:6190 HOSPITAL DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1072
Mailing Address - Country:US
Mailing Address - Phone:989-912-6115
Mailing Address - Fax:989-912-6116
Practice Address - Street 1:6190 HOSPITAL DR
Practice Address - Street 2:SUITE 105
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1072
Practice Address - Country:US
Practice Address - Phone:989-912-6115
Practice Address - Fax:989-912-6116
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLS & DALES GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-20
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIDP048720207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI231316Medicare Oscar/Certification