Basic Information
Provider Information
NPI: 1285605832
EntityType: 2
ReplacementNPI:  
OrganizationName: HUTCHINSON AREA HEALTH CARE
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HUTCHINSON COMMUNITY HOSPITAL
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1095 HIGHWAY 15 S
Address2:  
City: HUTCHINSON
State: MN
PostalCode: 553505000
CountryCode: US
TelephoneNumber: 3202345000
FaxNumber:  
Practice Location
Address1: 1095 HIGHWAY 15 S
Address2:  
City: HUTCHINSON
State: MN
PostalCode: 553505000
CountryCode: US
TelephoneNumber: 3202345000
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/31/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: LARSON
AuthorizedOfficialFirstName: PAMELA
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 3202344751
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X MNY HospitalsGeneral Acute Care Hospital 

No ID Information.


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