# COFFEY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunset Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184612657
- **Authorized official:** MR. DENNIS L GEORGE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (620) 364-2121

## Contact information

- **Practice address:** 128 S PEARSON AVE, WAVERLY, KS 66871-9673
- **Practice address phone:** (785) 733-2744
- **Practice address fax:** (785) 733-2514
- **Mailing address:** 128 SOUTH PEARSON AVE, WAVERLY, KS 66871
- **Mailing address phone:** (785) 733-2744
- **Mailing address fax:** (785) 733-2514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | KS | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 08/22/2020