Organization
COFFEY COUNTY HOSPITAL
Active
Parent organization
COFFEY COUNTY HOSPITAL
Other names
Waverly Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
COFFEY COUNTY HOSPITAL
Authorized official
MERRI MICHAELS (BILLING MANAGER)
(620) 364-2121
Entity
Organization
Contact information
Practice address
302 PEARSON AVE, WAVERLY, KS 66871
(785) 733-2867
(785) 733-2143
Mailing address
PO BOX 289, BURLINGTON, KS 66839-0289
(620) 364-5395
(620) 364-8719
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098740D
—
KS
Enumeration date
10/19/2006
Last updated
01/15/2019
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