Provider Demographics
NPI:1750490579
Name:HUTCHINSON HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:HUTCHINSON HEALTH CARE SERVICES, INC
Other - Org Name:HEALTH-E-QUIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:VELMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOERTZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-665-0528
Mailing Address - Street 1:803 E 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67502-4341
Mailing Address - Country:US
Mailing Address - Phone:620-665-0528
Mailing Address - Fax:620-665-0062
Practice Address - Street 1:1318 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2506
Practice Address - Country:US
Practice Address - Phone:620-241-2250
Practice Address - Fax:620-241-0199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0320380004Medicare ID - Type Unspecified