Provider Demographics
NPI:1225257348
Name:HILLS & DALES GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HILLS & DALES GENERAL HOSPITAL, INC.
Other - Org Name:HILLS & DALES CENTER FOR REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF FISCAL SERVICES, CFO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:989-912-6225
Mailing Address - Street 1:6190 HOSPITAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CASS CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48726-1072
Mailing Address - Country:US
Mailing Address - Phone:989-872-2084
Mailing Address - Fax:989-872-4337
Practice Address - Street 1:6190 HOSPITAL DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CASS CITY
Practice Address - State:MI
Practice Address - Zip Code:48726-1072
Practice Address - Country:US
Practice Address - Phone:989-872-2084
Practice Address - Fax:989-872-4337
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLS & DALES GENERAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-25
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI231316Medicare Oscar/Certification