Preferred Medical Associates

Key facts

NPI

1114042181

Entity type

Organization (NPI type 2)

Primary specialty

Rural Health Clinic/Center 261QR1300X

Legal business name

PREFERRED MEDICAL ASSOCIATES

Practice address

508 S Ash St
Hillsboro, KS 67063-1534

Phone

(620) 947-2396

Fax

(620) 947-2590

NPI assigned

Mar 20, 2007

Organization subpart

Yes

Parent organization (as reported)

PREFERRED MEDICAL ASSOCIATES

Authorized official

Name

Dr. Edward J Hett, MD

Title

President

Phone

(316) 268-8080

National Provider Directory

Part of

PMC Inc Dba Snyder

Specialties & licenses

Addresses

Other identifiers

Other names

• VCMA HILLSBORO Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 12, 2010.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1114042181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S ASH ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631534",
            "telephone_number": "620-947-2396",
            "fax_number": "620-947-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S ASH ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631534",
            "telephone_number": "620-947-2396",
            "fax_number": "620-947-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED MEDICAL ASSOCIATES",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "HETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-268-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003230L",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCMA HILLSBORO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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