Provider Demographics
NPI:1053427724
Name:HAYS ORTHOPAEDIC CLINIC, PA
Entity type:Organization
Organization Name:HAYS ORTHOPAEDIC CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-628-8221
Mailing Address - Street 1:2500 CANTERBURY DR STE 112
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2258
Mailing Address - Country:US
Mailing Address - Phone:785-628-8221
Mailing Address - Fax:785-628-3264
Practice Address - Street 1:2500 CANTERBURY DR STE 112
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2258
Practice Address - Country:US
Practice Address - Phone:785-628-8221
Practice Address - Fax:785-628-3264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0611850001Medicare PIN