=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902590508
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAYS MEDICAL CENTER, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/06/2023
-----------------------------------------------------
Last Update Date | 01/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 N 14TH AVE STE 200
-----------------------------------------------------
City | DODGE CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67801-2367
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-371-5197
-----------------------------------------------------
Fax | 785-623-5393
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2220 CANTERBURY DR
-----------------------------------------------------
City | HAYS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67601-2370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT AND CEO
-----------------------------------------------------
Name | EDWARD HERRMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 785-623-5523
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------