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Hutchinson Clinic, P.a., Inc.

Organization Active NPI Ambulatory Surgical Clinic/Center · Hutchinson, KS

NPI 1386619682 · NPPES record last updated Apr 27, 2015

Key facts

NPI
1386619682
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
HUTCHINSON CLINIC, P.A., INC.
Practice address
2107 N Waldron St
Hutchinson, KS 67502-1131
Phone
(620) 669-2500
NPI assigned
Feb 21, 2006
Organization subpart
Yes
Parent organization (as reported)
HUTCHINSON CLINIC, PA, INC.

Authorized official

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

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.

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 7

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

Practitioners 197

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 197

Medicare Care Compare: Ambulatory surgical center

Listed as
Hutchinson Clinic PA Inc Dba Hutchinson Clinic Endoscopy Center CCN 17C0001030
Medicare certification status
Active (Provider of Services file)

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

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

Medicare enrollment records

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

National Provider Directory

Part of
Hutchinson Clinic PA

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
100217710AMedicaidKS

Other names

  • Hutchinson Clinic Endoscopy Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2015.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217710A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchinson Clinic Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hutchinson, KS

All providers in Hutchinson, KS · Ambulatory Surgical Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.