Healthcare Provider Details

I. General information

NPI: 1700883352
Provider Name (Legal Business Name): HUTCHINSON OPERATOR, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 N. SEVERANCE
HUTCHINSON KS
67502-4301
US

IV. Provider business mailing address

2301 N. SEVERANCE
HUTCHINSON KS
67502-4301
US

V. Phone/Fax

Practice location:
  • Phone: 620-662-0597
  • Fax: 620-662-6157
Mailing address:
  • Phone: 620-662-0597
  • Fax: 620-662-6157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberN078006
License Number StateKS

VIII. Authorized Official

Name: MR. STUART LINDEMAN
Title or Position: CEO
Credential:
Phone: 813-440-8345