COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY
NPI 1013905405
Clinic/Center in Waverly, KS
- Organization
- Clinic/Center
- CLIA Number: 17D0450734
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-22-2027
About COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY
This page provides the complete NPI Profile along with additional information for Coffey Counth Hospital Home Health Agency, a provider established in Waverly, Kansas operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013905405 assigned on October 2005. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Coffey Counth Hospital Home Health Agency. The authorized official of this NPI record is Merri Michaels (Billing Supervisor)
- NPI
- 1013905405 Verify this NPI
- Provider Legal Name
- COFFEY COUNTY HOSPITAL
- Other Organization Name
- COFFEY COUNTH HOSPITAL HOME HEALTH AGENCY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 302 PEARSON AVE WAVERLY, KS 66871
- Location Phone
- (785) 733-2667
- Mailing Address
- 801 N 4TH ST P.O. BOX 189 BURLINGTON, KS 66839
- Mailing Phone
- (620) 364-2121
- Mailing Fax
- (620) 364-8425
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-10-2005
- Last Update Date
- 01-15-2019
- Code Navigator
Location Map
Secondary Locations
- 801 N 4th St
Burlington, KS 66839
(620) 364-2121
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100098820B | MEDICAID (05) | KS | |
| 180038 | OTHER (01) | KS | BLUE CROSS BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 17D0450734
- Facility Type
- Hospital
- Certificate Effective Date
- March 23, 2025
- Certificate Expiration Date
- March 22, 2027
- Laboratory Director
- LUIS F. TORRES ROMERO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Coffey Counth Hospital Home Health Agency after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013905405, enumerated as an "organization" on October 10, 2005.
The provider is located at 302 PEARSON AVE WAVERLY, KS 66871 and the phone number is (785) 733-2667.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
