Organization
COFFEY COUNTY HOSPITAL
Active
Parent organization
COFFEY COUNTY MEDICAL CENTER
Other names
Coffey Counth Hospital Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
COFFEY COUNTY MEDICAL CENTER
Authorized official
MERRI MICHAELS (BILLING SUPERVISOR)
(620) 364-2121
Entity
Organization
Contact information
Practice address
302 PEARSON AVE, WAVERLY, KS 66871-9676
(785) 733-2667
Mailing address
801 N 4TH ST, P.O. BOX 189, BURLINGTON, KS 66839-2602
(620) 364-2121
(620) 364-8425
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098820B
—
KS
01
—
180038
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/10/2005
Last updated
01/15/2019
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