Organization Active NPI

Hutchinson Clinic Inc

  • Family Medicine Physician
  • Brookfield, MO
National Provider Identifier
1902909559
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30110 Issued in MO
Legal business name
HUTCHINSON CLINIC INC
Practice address
624 W Lockling Ave
Brookfield, MO 64628
Phone
(660) 258-2536
Fax
(660) 258-3719
NPI assigned
Sep 7, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Nancy A Hutchinson, DO
Title
Owner /President
Phone
(660) 258-2536

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 30110 MO
Family Medicine Physician 207Q00000X 30110 MO Primary

Addresses

Primary practice location

624 W Lockling Ave
Brookfield, MO 64628

Mailing address

PO Box 312
Brookfield, MO 64628
Phone (660) 258-2536

Other identifiers 1

IdentifierTypeStateIssuer
CS0568OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

125 E Brooks St
Brookfield, MO 64628
Phone (660) 258-9065

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1902909559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "64628",
            "telephone_number": "660-258-2536",
            "fax_number": "660-258-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W LOCKLING AVE",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "64628",
            "telephone_number": "660-258-2536",
            "fax_number": "660-258-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHINSON CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER /PRESIDENT",
        "authorized_official_telephone_number": "660-258-2536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MO",
            "license": "30110",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "30110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CS0568",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.