NPIMap

Organization Active NPI

Hills & Dales General Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Cass City, MI
National Provider Identifier
1881147700
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
HILLS & DALES GENERAL HOSPITAL INC
Practice address
4675 Hill St
Cass City, MI 48726-1008
Phone
(989) 872-2121
Fax
(989) 872-5376
NPI assigned
Jul 27, 2016
Last updated
Dec 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HILLS & DALES GENERAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Kenneth E Baranski, CPA
Title
VP of Finance/Cfo
Phone
(989) 912-6225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary
Critical Access Hospital 282NC0060X MI

Addresses

Primary practice location

4675 Hill St
Cass City, MI 48726-1008

Mailing address

4675 Hill St
Cass City, MI 48726-1008
Phone (989) 872-2121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113001747 MI Part A Provider - Critical Access Hospital 8022910363 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Cass City, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881147700. Details of each certification follow.

Hospital certification: CCN 23Z316

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Organization structure
CorporationNon-profit
Incorporated
Aug 1, 1960 in MI
Enrollment address
4675 Hill St
Cass City, MI 48726-1008
Hospital Rehabilitation Unit

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 1

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

Ownership & related parties

All disclosed owners & managing parties 13

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 Officer Feb 26, 2019
Carol L Starling Individual Corporate Officer Feb 26, 2019
Faith Ann Fahrner Individual Corporate Officer Feb 26, 2019
Orvil a Beecher Individual Corporate DirectorBoard Member Jan 1, 2004
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kurt Sargent Individual Corporate OfficerCfo 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 Officer Jan 1, 2018
Andrew Joseph Daniels Individual Corporate OfficerCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022
Nancy J Wade Individual Corporate DirectorBroad Member 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 1

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1881147700",
    "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": "989-872-2121",
            "fax_number": "989-872-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008",
            "telephone_number": "989-872-2121",
            "fax_number": "989-872-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLS & DALES GENERAL HOSPITAL INC",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "BARANSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP OF FINANCE/CFO",
        "authorized_official_telephone_number": "989-912-6225",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cass City, MI

Sources for this page

Verify at the official NPI Registry.