Provider Demographics
NPI:1245876184
Name:HYLO URGENT CARE CLINICS, P.A.
Entity type:Organization
Organization Name:HYLO URGENT CARE CLINICS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HERSHBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:316-687-3275
Mailing Address - Street 1:3560 N MAIZE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-7393
Mailing Address - Country:US
Mailing Address - Phone:316-669-3851
Mailing Address - Fax:316-260-7292
Practice Address - Street 1:3560 N MAIZE RD STE 106
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-7393
Practice Address - Country:US
Practice Address - Phone:316-669-3851
Practice Address - Fax:316-260-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-26
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care