Healthcare Provider Details

I. General information

NPI: 1841530946
Provider Name (Legal Business Name): HUTCHINSON CLINIC, P.A., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2013
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 S MAIN ST
SOUTH HUTCHINSON KS
67505-1508
US

IV. Provider business mailing address

24 S MAIN ST
SOUTH HUTCHINSON KS
67505-1508
US

V. Phone/Fax

Practice location:
  • Phone: 620-259-6221
  • Fax:
Mailing address:
  • Phone: 620-259-6221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL HECK
Title or Position: CEO
Credential:
Phone: 620-669-2500