Healthcare Provider Details

I. General information

NPI: 1053427724
Provider Name (Legal Business Name): HAYS ORTHOPAEDIC CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 CANTERBURY DR STE 112
HAYS KS
67601-2258
US

IV. Provider business mailing address

2500 CANTERBURY DR STE 112
HAYS KS
67601-2258
US

V. Phone/Fax

Practice location:
  • Phone: 785-628-8221
  • Fax: 785-628-3264
Mailing address:
  • Phone: 785-628-8221
  • Fax: 785-628-3264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. GREGORY A WOODS
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 785-628-8221