Provider Demographics
NPI: | 1770095010 |
---|---|
Name: | HUTCHINSON REGIONAL MEDICAL CENTER, INC. |
Entity type: | Organization |
Organization Name: | HUTCHINSON REGIONAL MEDICAL CENTER, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BENJAMIN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ANDERSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 620-665-2000 |
Mailing Address - Street 1: | 1701 E 23RD AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | HUTCHINSON |
Mailing Address - State: | KS |
Mailing Address - Zip Code: | 67502-1105 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 620-513-4556 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1818 E 23RD AVE |
Practice Address - Street 2: | |
Practice Address - City: | HUTCHINSON |
Practice Address - State: | KS |
Practice Address - Zip Code: | 67502-1106 |
Practice Address - Country: | US |
Practice Address - Phone: | 620-663-4800 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-10-26 |
Last Update Date: | 2024-05-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 282N00000X | Hospitals | General Acute Care Hospital |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
KS | 100088340A | Medicaid | |
KS | 000009 | Other | BLUE CROSS |