Healthcare Provider Details

I. General information

NPI: 1174769509
Provider Name (Legal Business Name): HAYS MEDICAL CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2214 CANTERBURY DR SUITE 308
HAYS KS
67601-2386
US

IV. Provider business mailing address

2214 CANTERBURY DR SUITE 308
HAYS KS
67601-2386
US

V. Phone/Fax

Practice location:
  • Phone: 785-628-6014
  • Fax:
Mailing address:
  • Phone: 785-628-6014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOHN B MOORE
Title or Position: ADMINISTRATOR, PHYSICIAN PRACTICES
Credential:
Phone: 785-623-5019