NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Cass City Family Practice - Rural Health Clinic

  • Rural Health Clinic/Center
  • Cass City, MI
National Provider Identifier
1144665456
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HILLS & DALES GENERAL HOSPITAL, INC.
Doing business as
Cass City Family Practice - Rural Health Clinic
Practice address
6190 Hospital Dr
Cass City, MI 48726-1072
Phone
(989) 872-8303
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Kenneth E Baranski
Title
Chief Financial Officer
Phone
(989) 912-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

6190 Hospital Dr
Cass City, MI 48726-1072

Mailing address

4675 Hill St
Cass City, MI 48726-1008

Other names 1

  • Cass City Family Practice - Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000657 MI Part A Provider - Rural Health Clinic 8022910363 Practice locations: Cass City, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144665456. Details of each certification follow.

Rural health clinic certification: CCN 238669

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Doing business as
CASS CITY FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 5, 2014
Last certification
May 5, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1960 in MI
Enrollment address
6190 Hospital Dr
Ste 6
Cass City, MI 48726-1072
Related CCNs
231316

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hills and Dales Gen Hos38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Carol L Starling Individual Corporate Officer Feb 26, 2019
Faith Ann Fahrner Individual Corporate OfficerBoard Member Feb 26, 2019
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kimberly Gentner Individual Corporate OfficerCfo Jan 1, 2024
Corporate DirectorCfo Jan 1, 2024
Steven Ellis Individual Corporate OfficerBoard Member Jan 1, 2024
Victoria Meiburg Individual Corporate OfficerBoard Member Jan 1, 2024
Gail Ann Denton Individual Corporate OfficerBoard Member Jan 1, 2024
Judy K Brown Individual Corporate DirectorBoard Member Jan 1, 2011
Angela McConnachie Individual Corporate OfficerCo-Ceo Jan 1, 2024
W-2 Managing EmployeeCo-Ceo Jan 1, 2024
Scott Orr Individual Corporate OfficerBoard Member Jan 1, 2024
Andrew Joseph Daniels Individual Corporate OfficerCeo Jan 1, 2022
Corporate DirectorCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022
David Messing Individual Corporate OfficerBoard Member Jan 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1144665456",
    "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": "487261008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "989-912-6225"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass City Family Practice - Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.