NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Cass City Medical Practice

  • Rural Health Clinic/Center
  • Cass City, MI
National Provider Identifier
1487924221
Registry record updated Jun 10, 2024
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 Medical Practice
Practice address
4672 Hill St
Cass City, MI 48726-1028
Phone
(989) 872-8202
Fax
(989) 872-1245
NPI assigned
Jan 11, 2012
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Kimberly Gentner
Title
Chief Financial Officer
Phone
(989) 912-6225

Specialties & licenses 1

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

Addresses

Primary practice location

4672 Hill St
Cass City, MI 48726-1028

Mailing address

4675 Hill St Ste a
Cass City, MI 48726-1008
Phone (989) 872-8202

Other names 1

  • Cass City Medical Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120221000300 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 1487924221. Details of each certification follow.

Rural health clinic certification: CCN 238649

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Doing business as
CASS CITY MEDICAL PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 2012
Last certification
Jul 9, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1960 in MI
Enrollment address
4672 Hill St
Cass City, MI 48726-1028
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
23D0987406Cass City Medical Practice4672 Hill Street Ste 1, Cass City, MI 48726Certificate of waiverJun 4, 2027

National Provider Directory

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

Other organizations with this tax ID 33

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

View all 33

Locations

4675 Hill St
Ste A
Cass City, MI 48726
Phone (989) 872-8202

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Benjamin Schott Individual Corporate OfficerBoard Member Feb 26, 2019
Carol L Starling Individual Corporate OfficerBoard Member Feb 26, 2019
Faith Ann Fahrner Individual Corporate OfficerBoard Member Feb 26, 2019
Kayla Lasceski Individual Corporate Director Mar 15, 2014
W-2 Managing Employee Mar 15, 2014
Orvil a Beecher Individual Corporate DirectorBoard Member - Chairman Jan 1, 2004
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kurt Sargent Individual Corporate OfficerCfo Apr 11, 2022
Corporate DirectorCfo Apr 11, 2022
W-2 Managing EmployeeCfo Apr 11, 2022
Jason E Bitzer Individual Corporate DirectorBoard Member Jul 16, 2013
Judy K Brown Individual Corporate DirectorBoard Member Jan 1, 2011
Barbara a Butucel Individual Corporate DirectorBoard Member Jan 1, 2004
James Allen Luth Individual Corporate OfficerBoard Member Jan 1, 2018
Andrew Joseph Daniels Individual Corporate OfficerCeo Jan 1, 2022
Corporate DirectorCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022
Nancy J Wade Individual Corporate DirectorMedical Staff Director Apr 1, 2012
Danny L Haag Individual Corporate DirectorBoard Member Jan 1, 2007

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1487924221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 HILL ST STE A",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008",
            "telephone_number": "989-872-8202",
            "fax_number": "989-872-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261028",
            "telephone_number": "989-872-8202",
            "fax_number": "989-872-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "GENTNER",
        "authorized_official_first_name": "KIMBERLY",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cass City Medical Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.