Healthcare Provider Details

I. General information

NPI: 1841489606
Provider Name (Legal Business Name): HUTCHINSON HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 01/23/2020
Certification Date: 01/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350-5000
US

IV. Provider business mailing address

1095 HIGHWAY 15 S
HUTCHINSON MN
55350-5000
US

V. Phone/Fax

Practice location:
  • Phone: 320-235-5000
  • Fax:
Mailing address:
  • Phone: 320-234-5000
  • Fax: 320-484-4688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: PAMELA LARSON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 320-484-4472