COFFEY COUNTY MEDICAL CENTER NPI 1013912088

NPI Information

  • NPI: 1013912088
  • Provider Name: COFFEY COUNTY MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WAVERLY MEDICAL CLINIC
  • Address: 302 PEARSON AVE
    WAVERLY, KS
    ZIP 66871
  • Phone: (785) 733-2667

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NPI Details

COFFEY COUNTY MEDICAL CENTER is a family medicine in Waverly, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COFFEY COUNTY MEDICAL CENTER NPI is 1013912088. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Waverly Medical Clinic.

The provider's business location address is:

302 PEARSON AVE
WAVERLY, KS
ZIP 66871-676
Phone: (785) 733-2667
Fax: (785) 733-2143

The provider's authorized official is Deanna Wolken .
The authorized official title is Clinic Administrator and has the following contact phone number (620) 364-5395.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/21/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineKANSASYes

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: 11/21/2025

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