Provider Demographics
NPI:1396180964
Name:HAYS MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:HAYS MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HORTON
Authorized Official - Last Name:JETER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-623-5000
Mailing Address - Street 1:2220 CANTERBURY DRIVE
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601
Mailing Address - Country:US
Mailing Address - Phone:785-623-5000
Mailing Address - Fax:785-623-2291
Practice Address - Street 1:2220 CANTERBURY DRIVE
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601
Practice Address - Country:US
Practice Address - Phone:785-623-5000
Practice Address - Fax:785-623-2291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-08
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH-026-001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
175537Medicare Oscar/Certification