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HUTCHINSON CLINIC P A INC NPI 1437797529


NPI Information

NPI: 1437797529
Provider Name: HUTCHINSON CLINIC P A INC

Doing Business As: HUTCHINSON CLINIC PHARMACY ON MAIN LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 17D0665623

Address:
2101 N WALDRON ST STE A
HUTCHINSON, KS
ZIP 67502
Phone: (620) 663-9542
Get Directions

HUTCHINSON CLINIC P A INC is a long term care pharmacy pharmacy in Hutchinson, KS. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HUTCHINSON CLINIC P A INC NPI is 1437797529. The provider is registered as an organization entity type.
The provider Is Doing Business As Hutchinson Clinic Pharmacy On Main Ltc.

The provider's business location address is:

2101 N WALDRON ST STE A
HUTCHINSON, KS
ZIP 67502-131
Phone: (620) 663-9542
Fax: (620) 694-4281

The provider's authorized official is Celeste Y. Ontjes .
The authorized official title is Director Of Pharmacy and has the following contact phone number (620) 663-9542.

The CLIA number assigned to this NPI record is 17D0665623 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 7/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100003360FMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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