NPIMap

Organization Active NPI

Coffey County Hospital

Doing business as Sunset Manor

  • Nursing Facility/Intermediate Care Facility
  • Waverly, KS
National Provider Identifier
1184612657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
COFFEY COUNTY HOSPITAL
Doing business as
Sunset Manor
Practice address
128 S Pearson Ave
Waverly, KS 66871-9673
Phone
(785) 733-2744
Fax
(785) 733-2514
NPI assigned
Oct 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis L George
Title
Chief Executive Officer
Phone
(620) 364-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X KS Primary

Addresses

Primary practice location

128 S Pearson Ave
Waverly, KS 66871-9673

Mailing address

128 South Pearson Ave
Waverly, KS 66871
Phone (785) 733-2744

Other names 1

  • Sunset Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coffey Co Hosp Amb9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184612657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SOUTH PEARSON AVE",
            "city": "WAVERLY",
            "state": "KS",
            "postal_code": "66871",
            "telephone_number": "785-733-2744",
            "fax_number": "785-733-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S PEARSON AVE",
            "city": "WAVERLY",
            "state": "KS",
            "postal_code": "668719673",
            "telephone_number": "785-733-2744",
            "fax_number": "785-733-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-364-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waverly, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.