# HUTCHINSON AMBULATORY SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295713568
- **Authorized official:** ROBERT DAVIDSON (COO)
- **Authorized official phone:** (620) 669-2500

## Contact information

- **Practice address:** 2205 N WALDRON ST, HUTCHINSON, KS 67502-1143
- **Practice address phone:** (620) 728-2700
- **Mailing address:** 2205 N WALDRON ST, HUTCHINSON, KS 67502-1143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | S-078-003 | KS | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 04/27/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100419910 A | — | KS |