County of Coffey
Organization Active NPI State or Local Public Health Clinic/Center · Burlington, KS
NPI 1285731406 · NPPES record last updated May 7, 2008
Key facts
- NPI
- 1285731406
- Entity type
- Organization (NPI type 2)
- Primary specialty
- State or Local Public Health Clinic/Center 261QP0905X
- Legal business name
- COUNTY OF COFFEY
- Practice address
- 110 S 6TH St
Burlington, KS 66839-1798 - Phone
- (620) 364-8631
- Fax
- (620) 364-2045
- NPI assigned
- Sep 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF COFFEY
Authorized official
- Name
- Lindsay R Payer, RN
- Title
- Administrator
- Phone
- (620) 364-8631
Owned or controlled facilities with NPI records 5
Member organizations 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Coffey County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Coffey County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 11, 2017 |
| Coffey County Medical Center RHC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (25%) | Jan 1, 1966 |
| Waverly Medical Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Yates Center Medical Center Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Jan 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080507000345 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315994084 | Practice locations: Burlington, KS |
National Provider Directory
- Part of
- County of Coffey
Locations
110 S 6th St
Burlington, KS 66839
Phone (620) 364-8631
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| State or Local Public Health Clinic/Center | 261QP0905X | Yes |
Addresses
Primary practice location
110 S 6TH St
Burlington, KS 66839-1798
Mailing address
110 S 6TH St
Burlington, KS 66839-1798
Phone (620) 364-8631
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460006 | Other | KS | CHILDREN'S MERCY FAMILY HEALTH PARTNERS |
| 012754 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100016510C | Medicaid | KS |
Other names
- Coffey Co Health Dept
Other providers in Burlington, KS
- Coffey County Hospital
- Coffey County Hospital
- Coffey County Hospital
- Coffey County Medical Center
- Coffey County Transportation
- Jennifer Crane
- Christine D Currier
- Susie Rachelle Decker
- Sara Ditto
- Marie-Karl Valencia Dizon
All providers in Burlington, KS · State or Local Public Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.