| The Hutchinson Clinic | |
|
4137 Kirby Parkway Suite 1 Memphis TN 38115 | |
| (901) 794-3397 | |
| (901) 794-3398 |
| Full Name | The Hutchinson Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 4137 Kirby Parkway, Memphis, Tennessee |
| Authorized Official Name and Position | Ying Xu (PHYSICIAN OWNER) |
| Authorized Official Contact | 9017943397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hutchinson Clinic 4137 Kirby Parkway Suite 1 Memphis TN 38115 Ph: (901) 794-3397 | The Hutchinson Clinic 4137 Kirby Parkway Suite 1 Memphis TN 38115 Ph: (901) 794-3397 |
| NPI Number | 1770646861 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 07/27/2007 |
| Medicare PECOS PAC ID | 8527072677 |
|---|---|
| Medicare Enrollment ID | O20060127000791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770646861 | NPI | - | NPPES |
| 3732658 | Medicaid | TN | |
| 07550343 | Other | MS | MEDICAID OF MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ying Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487692760 PECOS PAC ID: 2163323296 Enrollment ID: I20040120000741 |
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