| Coffey Counth Hospital Home Health Agency | |
|
302 Pearson Ave Waverly KS 66871-9676 | |
| (785) 733-2667 | |
| Not Available |
| Full Name | Coffey Counth Hospital Home Health Agency |
|---|---|
| Speciality | Clinic/center |
| Location | 302 Pearson Ave, Waverly, Kansas |
| Authorized Official Name and Position | Merri Michaels (BILLING SUPERVISOR) |
| Authorized Official Contact | 6203642121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffey Counth Hospital Home Health Agency 801 N 4th St P.o. Box 189 Burlington KS 66839-2602 Ph: (620) 364-2121 | Coffey Counth Hospital Home Health Agency 302 Pearson Ave Waverly KS 66871-9676 Ph: (785) 733-2667 |
| NPI Number | 1013905405 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 01/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013905405 | NPI | - | NPPES |
| 180038 | Other | KS | BLUE CROSS BLUE SHIELD |
| 100098820B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Waverly Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Pearson Ave, Waverly, KS 66871 Phone: 785-733-2667 Fax: 785-733-2143 | |
Waverly Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Pearson Ave, Waverly, KS 66871 Phone: 785-733-2867 Fax: 785-733-2143 |