NPIMap

Organization Active NPI

Hutchinson Regional Medical Center Inc

Doing business as Hutchinson Regional Provider Network

  • Rural Health Clinic/Center
  • Hutchinson, KS
National Provider Identifier
1073499885
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HUTCHINSON REGIONAL MEDICAL CENTER INC
Doing business as
Hutchinson Regional Provider Network
Practice address
1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Phone
(620) 665-2000
Fax
(620) 513-3911
NPI assigned
Aug 15, 2025
Last updated
Aug 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andra M Allen
Title
Clinical and Operations Director
Phone
(785) 650-9094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1701 E 23Rd Ave
Hutchinson, KS 67502-9907

Mailing address

1701 E 23Rd Ave
Hutchinson, KS 67502-9907
Phone (620) 665-2000

Other names 1

  • Hutchinson Regional Provider Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251013003581 KS Part A Provider - Rural Health Clinic 0648181198 Practice locations: Hutchinson, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073499885. Details of each certification follow.

Rural health clinic certification: CCN 178654

Legal name
HUTCHINSON REGIONAL MEDICAL CENTER INC
Doing business as
HUTCHINSON REGIONAL PROVIDER NETWORK
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 6, 2026
Last certification
Feb 6, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
1701 E 23Rd Ave
Hutchinson, KS 67502-1105
Related CCNs
170020

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2326489Hutchinson Regional Provider Network1701 E 23Rd Ave Suite 3100, Hutchinson, KS 67502Certificate of waiverJul 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hutchinson Hosp Corp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Allen K Fee Individual Corporate DirectorChair Sep 15, 2010
Dan Springer Individual Corporate DirectorSecretary/Treasurer Jul 1, 2025
Rex Anthony Degner Individual Corporate DirectorBoard Member Sep 9, 2009
Richard J Staab Individual Corporate OfficerTreasurer Jul 1, 2019
Keith E Hughes Individual Corporate DirectorBoard Member Sep 15, 2010
Michael T Hagley Individual Corporate DirectorBoard Member Jul 1, 2015
Cameron G Meyer Individual Corporate OfficerCfo Jul 1, 2024
W-2 Managing EmployeeCfo Jul 1, 2024
Thomas Frederick Sellers Individual Corporate DirectorVice Chair Jul 1, 2017
James Schlickau Individual Corporate DirectorBoard Member Jul 1, 2022
Benjamin D Anderson Individual Corporate OfficerPresident & Ceo Jan 8, 2024
Corporate DirectorPresident & Ceo Jan 8, 2024
W-2 Managing EmployeePresident & Ceo Jan 8, 2024
Randy Johnston Individual Corporate DirectorTrustee Jul 1, 2025
Humayun Ashraf Individual Corporate DirectorCos Elect, Non-Voting Trustee Jul 1, 2025
Tricia Paramore Individual Corporate DirectorTrustee Jul 1, 2025
Gretchen M Irwin Individual Corporate DirectorTrustee Jul 1, 2025
Moh'D Al-Halawani Individual Corporate DirectorChief of Staff Elect Jul 1, 2023

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice and Homecare of Reno CountyHutchinson, KS, CCN 177127 Home health agency 5% Or Greater Direct Ownership Interest (100%) Oct 21, 2011
Hospice and Homecare of Reno CountyHutchinson, KS, CCN 171503 Hospice 5% Or Greater Direct Ownership Interest (100%) Oct 21, 2011

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1073499885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029907",
            "telephone_number": "620-665-2000",
            "fax_number": "620-513-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E 23RD AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675029907",
            "telephone_number": "620-665-2000",
            "fax_number": "620-513-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON REGIONAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CLINICAL AND OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "785-650-9094"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchinson Regional Provider Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.