Organization
COFFEY COUNTY HOSPITAL LTC
Active
Parent organization
COFFEY COUNTY HOSPITAL
Other names
Sunset Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
COFFEY COUNTY HOSPITAL
Authorized official
MERRI MICHAELS (BILLING SUPERVISOR)
(620) 364-2121
Entity
Organization
Contact information
Practice address
128 S PEARSON AVENUE, WAVERLY, KS 66871
(785) 733-2744
(785) 733-2514
Mailing address
801 N 4TH ST, BURLINGTON, KS 66839-2602
(620) 364-2121
(620) 364-8425
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100110550A
—
KS
Enumeration date
10/13/2006
Last updated
01/15/2019
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