NPIMap

Organization Active NPI

Coffey County Hospital

  • Land Ambulance
  • Burlington, KS
National Provider Identifier
1598855835
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COFFEY COUNTY HOSPITAL
Doing business as
Coffey County Hospital
Practice address
801 N 4TH
Burlington, KS 66839-2602
Phone
(620) 364-2121
Fax
(620) 364-8425
NPI assigned
Oct 16, 2006
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
James Lee Higgins
Title
Interm Billing Office Manager
Phone
(620) 364-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X KS Primary

Addresses

Primary practice location

801 N 4TH
Burlington, KS 66839-2602

Mailing address

801 N 4TH
Burlington, KS 66839-2602
Phone (620) 364-2121

Other names 1

  • Coffey County Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171012003037 KS Part B Supplier - Ambulance Service Supplier 4981598653 Practice locations: Burlington, KS

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • County of Coffey

    dba Coffey Co Health Dept

    • State or Local Public Health Clinic/Center
    • Burlington, KS
    • NPI 1285731406

    Member Of

    NPD member

Locations

824 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Coffey County HospitalBurlington, KS, CCN 171385 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Coffey County HospitalBurlington, KS, CCN 17Z385 Hospital Other (100%) Jan 1, 2017
Coffey County Medical Center RHCBurlington, KS, CCN 173982 Rural health clinic 5% Or Greater Direct Ownership Interest (75%) Jan 1, 1966
Waverly Medical ClinicWaverly, KS, CCN 173983 Rural health clinic Operational/Managerial Control (100%) Apr 16, 1991
Yates Center Medical Center Rural Health ClinicYates Center, KS, CCN 178559 Rural health clinic Operational/Managerial Control (100%) Jul 18, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1598855835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N 4TH",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668392602",
            "telephone_number": "620-364-2121",
            "fax_number": "620-364-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 4TH",
            "city": "BURLINGTON",
            "state": "KS",
            "postal_code": "668392602",
            "telephone_number": "620-364-2121",
            "fax_number": "620-364-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "INTERM BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "620-364-4502"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coffey County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, KS

Sources for this page

Verify at the official NPI Registry.