Active NPI
Hutchinson Clinic Inc
- Family Medicine Physician
- Brookfield, MO
National Provider Identifier
1902909559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30110
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CS0568 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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
- General John J Pershing Memorial Hospital Association (Pershing Memorial Hospital)
- Kendal Lewis Geno, M.D.
- Vivian Marlene Hall, MSN, RN, BC, FNP
- Hannibal Regional Healthcare System, Inc. (Complete Family Medicine)
- Michelle Lynn Heins, M.S., CCC-SLP
- Cassandra Jaynes, DPT
- Brian Kevin Knowles, D.O.
- Madhuresh Kumar, M.D.
- Autumn R Lindsay
- Linn County Ambulance District
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.