Organization
HUTCHINSON AMBULATORY SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVIDSON (COO)
(620) 669-2500
Entity
Organization
Contact information
Practice address
2205 N WALDRON ST, HUTCHINSON, KS 67502-1143
(620) 728-2700
Mailing address
2205 N WALDRON ST, HUTCHINSON, KS 67502-1143
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
S-078-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100419910 A
—
KS
Enumeration date
01/05/2006
Last updated
04/27/2015
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