COFFEY COUNTY HOSPITAL (NPI# 1013905405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905405 |
| Entity Type | Organization |
| Organization Name | COFFEY COUNTY HOSPITAL |
| Other Organization Name | COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY |
| Practice Address |
302 Pearson Ave Waverly KS 66871-9676 |
| Mailing Address |
801 N 4th St P.o. Box 189 Burlington KS 66839-2602 |
| Practice Telephone | 7857332667 |
| Mailing Telephone | 6203642121 |
| Mailing Fax Number | 6203648425 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2019-01-15 |
| Authorized Official Name | MERRI MICHAELS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 6203642121 |
| Is Organization Subpart | Y |
| Parent Organization Name | COFFEY COUNTY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100098820B | 05 | |
| KS | BLUE CROSS BLUE SHIELD | 180038 | 01 |
| Other Name | Type Code |
|---|---|
| Coffey Counth Hospital Home Health Agency | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 801 N 4th St, Burlington, KS 668392602 | 6203642121 | 6203648425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699850958 | Coffey County Hospital | Nurse Anesthetist, Certified Registered | 801 N. 4th, Burlington, KS 66839-2602 | 2006-10-26 |
| 1417032772 | Coffey County Hospital | Assisted Living Facility | 1201 Martindale St, Burlington, KS 66839-2400 | 2006-10-26 |
| 1184612657 | Coffey County Hospital | Nursing Facility/Intermediate Care Facility | 128 S Pearson Ave, Waverly, KS 66871-9673 | 2005-10-10 |
| 1376548370 | Coffey County Hospital | General Acute Care Hospital | 801 N 4th, Burlington, KS 66839-2602 | 2005-06-16 |
| 1922246354 | Coffey County Hospital | Clinic/Center | 1004 E Madison St, Yates Center, KS 66783-1314 | 2009-01-22 |
| 1255483335 | Coffey County Hospital | Medicare Defined Swing Bed Unit | 801 N 4th, Burlington, KS 66839-2602 | 2007-01-17 |
| 1508941865 | Coffey County Hospital | Family Medicine | 801 N 4th, Burlington, KS 66839-2602 | 2006-10-26 |
| 1205918356 | Coffey County Hospital | Clinic/Center | 538 N C Street, Leroy, KS 66857 | 2006-10-19 |
| 1578645628 | Coffey County Hospital | Clinic/Center | 302 Pearson Ave, Waverly, KS 66871 | 2006-10-19 |
| 1841372992 | Coffey County Hospital | Clinic/Center | 309 Sanders St, Burlington, KS 66839-2616 | 2006-10-19 |
| Street Address |
302 PEARSON AVE |
| City | WAVERLY |
| State | KS |
| Zip Code | 66871-9676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912088 | Coffey County Medical Center | Family Medicine | 302 Pearson Ave, Waverly, KS 66871-9676 | 2005-06-16 |
| 1578645628 | Coffey County Hospital | Clinic/Center | 302 Pearson Ave, Waverly, KS 66871 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161503 | Amy Hillmon | Occupational Therapy Assistant | 407 Senior St, Waverly, KS 66871 | 2015-08-04 |
| 1073603825 | Coffey County Hospital Ltc | Nursing Facility/Intermediate Care Facility | 128 S Pearson Avenue, Waverly, KS 66871 | 2006-10-13 |
| 1508134172 | Rosemary M Rich | Dietitian, Registered | 1349 22nd Rd Ne, Waverly, KS 66871-9115 | 2011-12-09 |
| 1184612657 | Coffey County Hospital | Nursing Facility/Intermediate Care Facility | 128 S Pearson Ave, Waverly, KS 66871-9673 | 2005-10-10 |
| 1295968436 | Usd 243 Lebo-waverly | Local Education Agency (LEA) | 411 Pearson Ave, Waverly, KS 66871-9750 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768486 | Shelly Entler | Home Health Aide | 19448 State Route 772, Waverly, OH 45690-8910 | 2020-10-21 |
| 1538767181 | Brandie Mustard | Homemaker | 3018 My Tabor Rd, Waverly, OH 45690 | 2020-10-15 |
| 1013514900 | Victoria Sue Kerrigan | Technician | 3034 Bull Run Rd, Waverly, WV 26184-8122 | 2020-10-05 |
| 1821605338 | Quest Diagnostics | Clinical Medical Laboratory | 227 Valley View Dr Ste A, Waverly, OH 45690-9135 | 2020-09-29 |
| 1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
| 1760094452 | Sunnycho Teeling | Counselor | 408 W Bremer Ave, Waverly, IA 50677-3153 | 2020-08-23 |
| 1437760550 | Melissa Delancy | Technician | 78 Pebble Creek Dr, Waverly, WV 26184-3505 | 2020-08-12 |
| 1063021962 | Matthew Gordon | Technician | 31 Garden Lane, Waverly, WV 26184 | 2020-07-27 |
| 1245849306 | Maria George | Technician | 15774 Emerson Ave, Waverly, WV 26184-8002 | 2020-07-24 |
| 1891303442 | Wendy Jean Lougher | Licensed Practical Nurse | 441 Pennsylvania Ave, Waverly, NY 14892-1451 | 2020-07-20 |
| Find all providers in WAVERLY | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616430 | Tots' Learning Center | Clinic/Center | 12 Sawyer Pl, Waverly, NY 14892-1435 | 2019-09-04 |
| 1558908632 | Morehouse Ouachita Surgery Associates | Clinic/Center | 451 Highway 13 S, Waverly, TN 37185-2109 | 2019-12-07 |
| 1598080319 | Calease Chiropractic Center, LLC | Clinic/Center | 908 2nd Ave Sw, Waverly, IA 50677-2910 | 2010-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491271 | Heartland Pediatric Therapy | Clinic/Center | 1677 Rainbow Rd, Lindsborg, KS 67456-5085 | 2020-09-11 |
| 1740893932 | Junction City Dialysis, LLC | Clinic/Center | 702 Caroline Ave, Junction City, KS 66441-5223 | 2020-08-26 |
| 1730709023 | Jay Enterprise LLC | Clinic/Center | 8315 W 119th Ter, Overland Park, KS 66213-1225 | 2020-04-16 |
| 1649833377 | Regenerative Treatment Centers | Clinic/Center | 11401 Nall Ave Ste 218, Leawood, KS 66211-1850 | 2019-04-18 |
| 1407327620 | White Cloud Health Center, LLC | Clinic/Center | 3349b Thrasher Rd, White Cloud, KS 66094-4005 | 2018-12-16 |
| 1326557158 | Lumen Care Center, LLC | Clinic/Center | 6800 Hilltop Rd Ste 101, Shawnee, KS 66226-3571 | 2017-09-25 |
| 1477070431 | Kc Wellness Center, Inc | Clinic/Center | 5417 Johnson Dr, Mission, KS 66205-2912 | 2017-08-29 |
| 1609303544 | Xenon Anesthesia of Kansas LLC | Clinic/Center | 2101 Sw 21st St, Topeka, KS 66604-3174 | 2017-05-22 |
| 1932635612 | Harmony Medical Clinic | Clinic/Center | 2290 N Tyler Rd Ste 300, Wichita, KS 67205-8760 | 2017-05-02 |
| 1568904415 | Saint Luke's Hospital of Allen County, Inc | Clinic/Center | 111 S 9th St, Humboldt, KS 66748-1809 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.