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COFFEY COUNTY HOSPITAL NPI 1013905405


NPI Information

NPI: 1013905405
Provider Name: COFFEY COUNTY HOSPITAL

Doing Business As: COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 17D0450734

Address:
302 PEARSON AVE
WAVERLY, KS
ZIP 66871
Phone: (785) 733-2667
Get Directions

COFFEY COUNTY HOSPITAL is a clinic center in Waverly, KS. The provider is 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). COFFEY COUNTY HOSPITAL NPI is 1013905405. The provider is registered as an organization entity type.
The provider Is Doing Business As Coffey Counth Hospital Home Health Agency.

The provider's business location address is:

302 PEARSON AVE
WAVERLY, KS
ZIP 66871-676
Phone: (785) 733-2667

The provider's authorized official is Merri Michaels .
The authorized official title is Billing Supervisor and has the following contact phone number (620) 364-2121.

The CLIA number assigned to this NPI record is 17D0450734 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 1/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100098820BMEDICAIDKANSAS
2180038OTHERKANSASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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