Provider Demographics
NPI:1710176326
Name:HILLS & DALES GENERAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HILLS & DALES GENERAL HOSPITAL, INC.
Other - Org Name:HILLS & DALES CENTER FOR REHAB & FITNESS- CARO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FIANCIAL 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:
Authorized Official - Phone:989-912-6225
Mailing Address - Street 1:1186 CLEAVER RD
Mailing Address - Street 2:
Mailing Address - City:CARO
Mailing Address - State:MI
Mailing Address - Zip Code:48723-1150
Mailing Address - Country:US
Mailing Address - Phone:989-673-4999
Mailing Address - Fax:989-673-4099
Practice Address - Street 1:1186 CLEAVER RD
Practice Address - Street 2:
Practice Address - City:CARO
Practice Address - State:MI
Practice Address - Zip Code:48723-1150
Practice Address - Country:US
Practice Address - Phone:989-673-4999
Practice Address - Fax:989-673-4099
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLS & DALES GENERAL HOSPITAL, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-19
Last Update Date:2010-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI231316Medicare Oscar/Certification