NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Bad Axe Family Practice & Pediatrics

  • General Practice Physician
  • Bad Axe, MI
National Provider Identifier
1629804737
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HILLS & DALES GENERAL HOSPITAL, INC.
Doing business as
Bad Axe Family Practice & Pediatrics
Practice address
684 N Port Crescent St
Bad Axe, MI 48413-1275
Phone
(989) 912-6575
NPI assigned
Sep 13, 2024
Last updated
Sep 23, 2026By 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 Sep 23, 2026

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

Authorized official

Name
Kimberly Gentner
Title
Cfo
Phone
(810) 376-7024

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

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

Mailing address

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 912-6206

Other names 1

  • Bad Axe Family Practice & Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 6

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

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1629804737",
    "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": "989-912-6206"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "enumeration_date": "2024-09-13",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "GENTNER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "810-376-7024"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bad Axe Family Practice & Pediatrics",
            "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 Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.