Provider Demographics
NPI:1821279837
Name:HUTCHISON MEDICAL, INC.
Entity Type:Organization
Organization Name:HUTCHISON MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-237-6000
Mailing Address - Street 1:16561 N COUNTY FARM LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IL
Mailing Address - Zip Code:62864-7934
Mailing Address - Country:US
Mailing Address - Phone:618-237-6000
Mailing Address - Fax:800-750-8650
Practice Address - Street 1:16561 N COUNTY FARM LN
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-7934
Practice Address - Country:US
Practice Address - Phone:618-237-6000
Practice Address - Fax:800-750-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies