Provider Demographics
NPI: | 1528193026 |
---|---|
Name: | HAYS MEDICAL CENTER, INC. |
Entity type: | Organization |
Organization Name: | HAYS MEDICAL CENTER, INC. |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR, PHYSICIAN PRACTICES |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JOHN |
Authorized Official - Middle Name: | B |
Authorized Official - Last Name: | MOORE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 785-623-2185 |
Mailing Address - Street 1: | 2220 CANTERBURY DR |
Mailing Address - Street 2: | |
Mailing Address - City: | HAYS |
Mailing Address - State: | KS |
Mailing Address - Zip Code: | 67601-2370 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 785-623-5774 |
Mailing Address - Fax: | 785-623-5775 |
Practice Address - Street 1: | 2220 CANTERBURY DR STE 150 |
Practice Address - Street 2: | |
Practice Address - City: | HAYS |
Practice Address - State: | KS |
Practice Address - Zip Code: | 67601-2370 |
Practice Address - Country: | US |
Practice Address - Phone: | 785-623-5774 |
Practice Address - Fax: | 785-623-5775 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-02-23 |
Last Update Date: | 2022-09-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | Group - Single Specialty |