1629267356 NPI number — HILLS & DALES GENERAL HOSPITAL INC

Table of content: (NPI 1629267356)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629267356 NPI number — HILLS & DALES GENERAL HOSPITAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILLS & DALES GENERAL HOSPITAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629267356
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
02/01/2008
NPI Reactivation Date:
02/14/2008

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4675 HILL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CASS CITY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48726-1008
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-912-6000
Provider Business Mailing Address Fax Number:
989-872-4137

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 E MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UBLY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48475-9566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-658-8611
Provider Business Practice Location Address Fax Number:
989-872-4337
Provider Enumeration Date:
10/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BARANSKI
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
E
Authorized Official Title or Position:
VP OF FISCAL SERVICES, CFO
Authorized Official Telephone Number:
989-912-6225

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  L2308497 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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