Provider Demographics
NPI:1568681997
Name:HILLS & DALES GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HILLS & DALES GENERAL HOSPITAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BARANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:989-912-6225
Mailing Address - Street 1:5854 STATE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48741-9524
Mailing Address - Country:US
Mailing Address - Phone:989-683-8065
Mailing Address - Fax:989-683-8088
Practice Address - Street 1:5854 STATE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MI
Practice Address - Zip Code:48741-9524
Practice Address - Country:US
Practice Address - Phone:989-683-8065
Practice Address - Fax:989-683-8088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLS & DALES GENERAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-24
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI261QP2300X
261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI231316Medicare Oscar/Certification