Coffey County Hospital
Organization Active NPI Land Ambulance · Burlington, KS
NPI 1598855835 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1598855835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- James Lee Higgins
- Title
- Interm Billing Office Manager
- Phone
- (620) 364-4502
Owned or controlled facilities with NPI records 5
Other NPIs with the same Medicare PAC ID 6
Member of 1
Practitioners 41
-
Ashley Renee Beying, APRN
-
Donald N Braun, M.D.
-
Mark Alan Greenfield, M.D.
-
Christopher D Jarvis, M.D.
-
Sonya Jurgens, CRNA
-
Laurel Louderbaugh, RN, MN, ARNP-C
-
Tiffany McRoberts, FNP-C
-
Myra Anne Richard, DNP, APRN-C
-
John R Shell, M.D.
-
Jon O Sides, M.D.
-
Jeff M Sloyer, M.D.
-
Annette Diane Vananne, ARNP, CNM
-
Erica Corrine Hadley, C.R.N.A.
-
Todd A Brown, M.D.
-
Teresa N Camfield, APRN
-
Joseph P Clark, PA
-
Aric Brendan Deyoung, CRNA
-
Eric F Flores, P.A.
-
Deedra Frederick, APRN
-
Heather Lynnette Frisbie, C.R.N.A.
-
Denise Renee Hamilton, RD, LD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Coffey County Hospital |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Coffey County Hospital |
Hospital | Other (100%) | Jan 1, 2017 |
| Coffey County Medical Center RHC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (75%) | Jan 1, 1966 |
| Waverly Medical Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Apr 16, 1991 |
| Yates Center Medical Center Rural Health Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Jul 18, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171012003037 | KS | Part B Supplier - Ambulance Service Supplier | 4981598653 | Practice locations: Burlington, KS |
National Provider Directory
Locations
824 N 4th St
Burlington, KS 66839
Phone (620) 364-2121
801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | KS | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098820C | Medicaid | KS | |
| 5599 | Other | KS | BLUE CROSS & BLUE SHIELD |
Other names
- Coffey County Hospital
Other providers in Burlington, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. 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.