Provider Demographics
NPI:1972605285
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:620-665-2000
Mailing Address - Fax:620-513-3811
Practice Address - Street 1:1701 E 23RD AVE
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-1105
Practice Address - Country:US
Practice Address - Phone:620-665-2000
Practice Address - Fax:620-513-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS003917OtherBLUE CROSS BLUE SHIELD
KS100088340BMedicaid
KS465911OtherCHILDREN'S MERCY/FHP
KS465911OtherCHILDREN'S MERCY/FHP
KS003917OtherBLUE CROSS BLUE SHIELD
KS465911OtherCHILDREN'S MERCY/FHP