NPIMap

Organization Active NPI

Hills & Dales General Hospital Inc

  • Rural Health Clinic/Center
  • Cass City, MI
National Provider Identifier
1487873501
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HILLS & DALES GENERAL HOSPITAL INC
Practice address
6190 Hospital Dr
Suite 103
Cass City, MI 48726-1072
Phone
(989) 872-8503
Fax
(989) 872-1546
NPI assigned
Apr 25, 2007
Organization subpart
Yes
Parent organization
HILLS & DALES GENERAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Ken 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

6190 Hospital Dr
Suite 103
Cass City, MI 48726-1072

Mailing address

6190 Hospital Dr
Suite 103
Cass City, MI 48726-1072
Phone (989) 872-8503

Other names 1

  • Thumb Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000074 MI Part A Provider - Rural Health Clinic 8022910363 Practice locations: Cass City, MI

Rural health clinic certification: CCN 238602

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Doing business as
THUMB PEDIATRICS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 23, 2007
Last certification
Feb 24, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1960 in MI
Enrollment address
6190 Hospital Dr
Ste 105
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).

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
23D1043323Thumb Pediatrics6190 Hospital Drive Suite 105, Cass City, MI 48726Certificate of waiverJul 20, 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

Locations

1048 E Caro Rd
Ste B
Caro, MI 48723
Phone (989) 912-6532

6190 Hospital Dr
Ste 103
Cass City, MI 48726
Phone (989) 872-8202

4674 Hill St
Ste 1
Cass City, MI 48726

6190 Hospital Dr
Ste 105
Cass City, MI 48726
Phone (989) 872-1563

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Faith Ann Fahrner Individual Corporate OfficerBoard Member Feb 26, 2019
Kayla Lasceski Individual Corporate DirectorDirector of Patient Accounting Jan 29, 2017
W-2 Managing EmployeeDirector of Patient Accounting Jan 29, 2017
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kimberly Gentner Individual Corporate Director Jan 1, 2024
W-2 Managing Employee 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 Employee Jan 1, 2024
Andrew Joseph Daniels Individual Corporate OfficerCeo Jan 1, 2022
Corporate DirectorCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 68

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": "1394755200000",
    "number": "1487873501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "address_2": "SUITE 103",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8503",
            "fax_number": "989-872-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 HOSPITAL DR",
            "address_2": "SUITE 103",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261072",
            "telephone_number": "989-872-8503",
            "fax_number": "989-872-1546"
        }
    ],
    "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": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "KEN",
        "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": "Thumb Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.