Hutchison Enterprises LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HUTCHISON ENTERPRISES LLC

Practice address

16561 N County Farm LN
Mount Vernon, IL 62864-7934

Phone

(618) 231-1324

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn Hutchison

Title

Member

Phone

(618) 231-1324

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Hutchison Medical Doing business as
• Hutchison Enterprises LLC Former legal business name

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1750878799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16561 N COUNTY FARM LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647934",
            "telephone_number": "618-231-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16561 N COUNTY FARM LN",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628647934",
            "telephone_number": "618-231-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHISON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-231-1324",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE",
            "identifier": "D-0619-956-9",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hutchison Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hutchison Enterprises LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nancy R Huffman, BCABA
• William D Huffstutler, MD
• Brian Scott Hughes, M.D.
• Sarah E Hughey, RN
• Mark C. Hurst, OPTOMETRIST, LTD.
• Hutchison Medical, Inc.
• Mohamed Ruzaik Ibrahim, MD
• Gloria Funbi Igboin, MSN, RN, FNP, PMH-BC
• Trevor Ile
• Jane Iles, RPH

• All providers in Mount Vernon, IL
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.