Hutchinson Mental Health, Llc | |
1206 N Main Street Hutchinson KS 67501-4501 | |
(620) 860-5002 | |
(620) 860-5002 |
Full Name | Hutchinson Mental Health, Llc |
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Speciality | Psychologist |
Location | 1206 N Main Street, Hutchinson, Kansas |
Authorized Official Name and Position | Deborah Elizabeth Burdette (ADMIN ASSIST) |
Authorized Official Contact | 6202002209 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hutchinson Mental Health, Llc 1206 N Main Street Hutchinson KS 67501-4501 Ph: (620) 860-5002 | Hutchinson Mental Health, Llc 1206 N Main Street Hutchinson KS 67501-4501 Ph: (620) 860-5002 |
NPI Number | 1336802461 |
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Provider Enumeration Date | 10/15/2021 |
Last Update Date | 10/15/2021 |
Certification Date | 10/15/2021 |
Medicare PECOS PAC ID | 6204222045 |
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Medicare Enrollment ID | O20220405000621 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336802461 | NPI | - | NPPES |
KA4802 | Other | KS | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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