Healthcare Provider Details

I. General information

NPI: 1528255395
Provider Name (Legal Business Name): HUTCHINSON HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 5TH ST N
DASSEL MN
55325
US

IV. Provider business mailing address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350-5000
US

V. Phone/Fax

Practice location:
  • Phone: 320-275-3358
  • Fax: 320-234-5051
Mailing address:
  • Phone: 320-234-5000
  • Fax: 320-484-4688

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: MS. PAMELA JEAN LARSON
Title or Position: CFO
Credential:
Phone: 320-484-4472