Healthcare Provider Details

I. General information

NPI: 1588738066
Provider Name (Legal Business Name): HUTCHINSON AREA HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N HIGH DR NE
HUTCHINSON MN
55350-1248
US

IV. Provider business mailing address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350-5000
US

V. Phone/Fax

Practice location:
  • Phone: 320-234-4919
  • Fax:
Mailing address:
  • Phone: 320-234-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number332201
License Number StateMN

VIII. Authorized Official

Name: MS. PAMELA J. LARSON
Title or Position: CFO
Credential:
Phone: 320-234-4751