NPIMap

Organization Active NPI

Hills & Dales General Hospital, Inc.

Doing business as Hills & Dales Caro Family Practice

  • Rural Health Clinic/Center
  • Caro, MI
National Provider Identifier
1952878100
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
Hills & Dales Caro Family Practice
Practice address
1048 E Caro Rd
Caro, MI 48723-1204
Phone
(989) 912-6206
NPI assigned
Oct 25, 2018
Last updated
Jun 10, 2024By 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 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
Cfo
Phone
(989) 912-6206

Specialties & licenses 1

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

Addresses

Primary practice location

1048 E Caro Rd
Caro, MI 48723-1204

Mailing address

4675 Hill St
Cass City, MI 48726-1099
Phone (989) 912-6206

Other names 1

  • Hills & Dales Caro Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200619001017 MI Part A Provider - Rural Health Clinic 8022910363 Practice locations: Caro, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952878100. Details of each certification follow.

Rural health clinic certification: CCN 238724

Legal name
HILLS & DALES GENERAL HOSPITAL INC
Doing business as
HILLS AND DALES CARO FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 17, 2020
Last certification
Sep 17, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
1048 E Caro Rd
Caro, MI 48723-1204
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
23D2163285Hills and Dales Caro Family Practice1048 E Caro Road, Caro, MI 48723Certificate of waiverMar 11, 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1514 W Caro Rd
Caro, MI 48723
Phone (989) 583-4700

Ownership & related parties

All disclosed owners & managing parties 15

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 Jan 1, 2024
Faith Ann Fahrner Individual Corporate DirectorBoard Member Jan 1, 2024
Patrick D Curtis Individual Corporate DirectorBoard Member Jan 1, 2010
Kimberly Gentner Individual Corporate OfficerCfo May 1, 2024
Steven Ellis Individual Corporate DirectorBoard Member Jan 1, 2024
Victoria Meiburg Individual Corporate DirectorBoard Member Jan 1, 2024
Gail Ann Denton Individual Corporate DirectorBoard Member Jan 1, 2024
Judy K Brown Individual Corporate OfficerBoard Member Jan 1, 2011
Angela McConnachie Individual Corporate OfficerCeo Jan 1, 2024
W-2 Managing EmployeeAd; Jan 1, 2024
Scott Orr Individual Corporate DirectorBoard Member Jan 1, 2024
Paul Rohling Individual Corporate DirectorBoard Member Jan 1, 2024
Sarah Kinel Individual Corporate Officer Oct 1, 2025
Andrew Joseph Daniels Individual Corporate OfficerCeo Jan 1, 2022
Corporate DirectorCeo Jan 1, 2022
W-2 Managing EmployeeCeo Jan 1, 2022
Erik Tamlyn Individual Corporate DirectorBoard Member Jan 1, 2024
David Messing Individual Corporate DirectorBoard 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.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1952878100",
    "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": "487261099",
            "telephone_number": "989-912-6206",
            "fax_number": "989-872-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E CARO RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231204",
            "telephone_number": "989-912-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLS & DALES GENERAL HOSPITAL, INC.",
        "enumeration_date": "2018-10-25",
        "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": "CFO",
        "authorized_official_telephone_number": "989-912-6206"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hills & Dales Caro Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caro, MI

Sources for this page

Verify at the official NPI Registry.