Healthcare Provider Details

I. General information

NPI: 1821279837
Provider Name (Legal Business Name): HUTCHISON MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16561 N COUNTY FARM LN
MOUNT VERNON IL
62864-7934
US

IV. Provider business mailing address

16561 N COUNTY FARM LN
MOUNT VERNON IL
62864-7934
US

V. Phone/Fax

Practice location:
  • Phone: 618-237-6000
  • Fax: 800-750-8650
Mailing address:
  • Phone: 618-237-6000
  • Fax: 800-750-8650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ALAN DALE HUTCHISON
Title or Position: PRESIDENT
Credential:
Phone: 618-237-6000