NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Hills & Dales at Bad Axe

  • Family Medicine Physician
  • Bad Axe, MI
National Provider Identifier
1003507625
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILLS & DALES GENERAL HOSPITAL, INC.
Doing business as
Hills & Dales at Bad Axe
Practice address
684 N Port Crescent St
Bad Axe, MI 48413-1275
Phone
(989) 912-6575
Fax
(989) 912-6013
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLS & DALES GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kurt S Sargent
Title
Cfo
Phone
(989) 912-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

684 N Port Crescent St
Bad Axe, MI 48413-1275

Mailing address

4675 Hill St
Cass City, MI 48726-1099
Phone (989) 912-6206

Other names 1

  • Hills & Dales at Bad Axe Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2284917Hills and Dales at Bad Axe684 Port Crescent Street, Bad Axe, MI 48413Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hills Dales General H34 organizations share this tax ID, including this one
Part of
Hills Dales General H

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1003507625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261099",
            "telephone_number": "989-912-6206",
            "fax_number": "989-872-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 N PORT CRESCENT ST",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131275",
            "telephone_number": "989-912-6575",
            "fax_number": "989-912-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLS & DALES GENERAL HOSPITAL",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "989-912-6555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hills & Dales at Bad Axe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.