NPIMap

Organization Active NPI

Hutchinson Clinic, P.a., Inc.

Doing business as Hutchinson Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
National Provider Identifier
1386619682
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HUTCHINSON CLINIC, P.A., INC.
Doing business as
Hutchinson Clinic Endoscopy Center
Practice address
2107 N Waldron St
Hutchinson, KS 67502-1131
Phone
(620) 669-2500
NPI assigned
Feb 21, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
HUTCHINSON CLINIC, PA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Robert Davidson
Title
Coo
Phone
(620) 669-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X KS Primary

Addresses

Primary practice location

2107 N Waldron St
Hutchinson, KS 67502-1131

Mailing address

2101 N Waldron St
Hutchinson, KS 67502-1131
Phone (620) 669-2500

Other names 1

  • Hutchinson Clinic Endoscopy Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080814000626 KS Part B Supplier - Ambulatory Surgical Center 5597658492 Practice locations: Hutchinson, KS

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Hutchinson Clinic PA Inc Dba Hutchinson Clinic Endoscopy CenterCCN 17C0001030
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Hutchinson Clcardiac Reh

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Summit SurgicalHutchinson, KS, CCN 170198 Hospital 5% Or Greater Direct Ownership Interest (15%) Oct 31, 2025
Hutchinson Clinic Walk in CareHutchinson, KS, CCN 178908 Rural health clinic Operational/Managerial Control Jan 1, 1995

Owned or controlled facilities with NPI records 2

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 179

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 179

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1386619682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON CLINIC, P.A., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HUTCHINSON CLINIC, PA, INC.",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "620-669-2500"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchinson Clinic Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.