Provider Demographics
NPI:1962669002
Name:HAYS MEDICAL CENTER, INC.
Entity Type:Organization
Organization Name:HAYS MEDICAL CENTER, INC.
Other - Org Name:HAYS ORTHOPAEDIC CLINIC
Other - Org Type:Doing Business As
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:785-623-5523
Mailing Address - Street 1:2500 CANTERBURY DR
Mailing Address - Street 2:SUITE 112
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2247
Mailing Address - Country:US
Mailing Address - Phone:785-628-8221
Mailing Address - Fax:
Practice Address - Street 1:2500 CANTERBURY DR
Practice Address - Street 2:SUITE 112
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2247
Practice Address - Country:US
Practice Address - Phone:785-628-8221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAYS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-16
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0978090006Medicare NSC