Provider Demographics
NPI:1629267356
Name:HILLS & DALES GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:HILLS & DALES GENERAL HOSPITAL INC
Other - Org Name:HILLS & DALES UBLY 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 1:4675 HILL ST
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:989-872-4137
Practice Address - Street 1:2201 E MAIN ST
Practice Address - Street 2:
Practice Address - City:UBLY
Practice Address - State:MI
Practice Address - Zip Code:48475-9566
Practice Address - Country:US
Practice Address - Phone:989-658-8611
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:2007-10-18
Last Update Date:2014-03-19
Deactivation Date:2008-02-01
Deactivation Code:
Reactivation Date:2008-02-14
Provider Licenses
StateLicense IDTaxonomies
MIL2308497261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237184Medicare Oscar/Certification