NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Family Healthcare of Cass City - Rural Health Clinic

  • Rural Health Clinic/Center
  • Cass City, MI
National Provider Identifier
1295954311
Registry record updated Nov 5, 2015
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
Family Healthcare of Cass City - Rural Health Clinic
Practice address
6230 Hospital Dr
Cass City, MI 48726-1046
Phone
(989) 872-2410
NPI assigned
Apr 25, 2007
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLS & DALES GENERAL HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

6230 Hospital Dr
Cass City, MI 48726-1046

Mailing address

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6000

Other names 1

  • Family Healthcare of Cass City - Rural Health Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040126000677 MI Part B Supplier - Clinic/Group Practice 8022910363 Receives reassigned benefits from 124 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cass City, MI; Sandusky, MI; Ubly, MI; Kingston, MI; Caro, MI; Bad Axe, MI
O20131016002022 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 1295954311. Details of each certification follow.

Rural health clinic certification: CCN 238671

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Doing business as
FAMILY HEALTHCARE OF CASS CITY
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 13, 2014
Last certification
Feb 13, 2014
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1960 in MI
Enrollment address
6230 Hospital Dr
Cass City, MI 48726-1046
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).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
23D2063004Family Healthcare of Cass City6230 Hospital Drive, Cass City, MI 48726Certificate of waiverJul 24, 2027

National Provider Directory

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

Other organizations with this tax ID 37

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

View all 37

Locations

650 W Sanilac Rd
Sandusky, MI 48471
Phone (989) 912-6725

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 DirectorBoard Member Feb 26, 2019
Faith Ann Fahrner Individual Corporate DirectorBoard Member Feb 26, 2019
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kimberly Gentner Individual Corporate OfficerCfo Jan 1, 2024
W-2 Managing EmployeeCfo 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 DirectorCo-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.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1295954311",
    "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",
            "telephone_number": "989-912-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261046",
            "telephone_number": "989-872-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "enumeration_date": "2007-04-25",
        "last_updated": "2015-11-05",
        "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",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Healthcare of Cass City - 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.