COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY
NPI 1013905405
Clinic/Center in Waverly, KS

Active since October 10, 2005CLIA 17D0450734 · Certificate of Compliance
302 PEARSON AVE, WAVERLY, KS 66871(785) 733-2667 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coffey Counth Hospital Home Health Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY (NPI 1013905405) is a healthcare organization registered as a clinic/center in Waverly, Kansas and active in the NPI registry since October 2005. The organization holds a CLIA Certificate of Compliance certificate valid through March 22, 2027, maintains a secondary practice location in Burlington, and lists Merri Michaels, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1013905405
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOFFEY COUNTY HOSPITAL
Location Address302 PEARSON AVEWaverly, KS 66871-9676
Mailing Address801 N 4th St, P.o. Box 189Burlington, KS 66839-2602 · (620) 364-2121 · Fax (620) 364-8425
Organization SubpartYesParent: Coffey County Medical Center
Authorized OfficialMerri MichaelsBilling Supervisor · (620) 364-2121
Enumeration DateOctober 10, 2005
Last NPPES UpdateJanuary 15, 2019
NPI 1013905405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
302 PEARSON AVE, Waverly, KS 66871

Other Names 1

Doing Business AsCoffey Counth Hospital Home Health Agency

Secondary Practice Location 1

Location 1801 N 4th StBurlington, KS 66839-2602 · Phone (620) 364-2121 · Fax (620) 364-8425

Other Identifiers 2

Medicaid100098820BKS
Other180038KS · Blue Cross Blue Shield

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 17D0450734

Coffey County Hospital Laboratory · Burlington, KS
Active · expires Mar 22, 2027
CLIA Number17D0450734
Laboratory TypeHospital
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorChristin L. Weller
Laboratory Phone(620) 364-2121
Laboratory LocationCoffey County Hospital Laboratory801 N 4th Street, Burlington, KS 66839
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
302 PEARSON AVE
WAVERLY, KS 66871
Clinic/Center (Rural Health)
302 PEARSON AVE
WAVERLY, KS 66871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffey County Hospital's NPI number?

The NPI number for Coffey County Hospital is 1013905405. It was assigned to this organization in the NPPES registry on October 10, 2005. The provider is doing business as Coffey Counth Hospital Home Health Agency.

Where is Coffey County Hospital located?

Coffey County Hospital is located at 302 Pearson Ave, Waverly, KS 66871. The listed phone number is (785) 733-2667.

What is Coffey County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Coffey County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D0450734) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coffey County Hospital was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.