| Coffey County Hospital | |
| 
					801 N 4th Burlington KS 66839-2602  | |
| (620) 364-2121 | |
| (620) 364-4525 | 
| Full Name | Coffey County Hospital | 
|---|---|
| Speciality | Family Medicine | 
| Location | 801 N 4th, Burlington, Kansas | 
| Authorized Official Name and Position | Merri Michaels (BILLING MANAGER) | 
| Authorized Official Contact | 6203642121 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coffey County Hospital 801 N 4th Burlington KS 66839-2602 Ph: (620) 364-2121  | Coffey County Hospital 801 N 4th Burlington KS 66839-2602 Ph: (620) 364-2121  | 
| NPI Number | 1508941865 | 
|---|---|
| Provider Enumeration Date | 10/26/2006 | 
| Last Update Date | 01/15/2019 | 
| Medicare PECOS PAC ID | 4981598653 | 
|---|---|
| Medicare Enrollment ID | O20040212000478 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1508941865 | NPI | - | NPPES | 
| 180038 | Other | KS | BLUE CROSS BLUE SHEILD | 
| 9842 | Other | KS | BLUE CROSS & BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Aric B Deyoung | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1932174976 PECOS PAC ID: 7719891183 Enrollment ID: I20031119000069  | 
| Provider Name | Timothy C Spears | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1639173156 PECOS PAC ID: 5597673327 Enrollment ID: I20040220000487  | 
| Provider Name | Jon O Sides | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1912901885 PECOS PAC ID: 5698752897 Enrollment ID: I20040706000994  | 
| Provider Name | Jeff M Sloyer | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1215931175 PECOS PAC ID: 8729065842 Enrollment ID: I20040706001206  | 
| Provider Name | Laurel A Louderbaugh | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1891724571 PECOS PAC ID: 5799759130 Enrollment ID: I20040823000572  | 
| Provider Name | Jeanette Weiser | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1528062262 PECOS PAC ID: 6901875491 Enrollment ID: I20041119000470  | 
| Provider Name | Annette Diane Vananne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1386846475 PECOS PAC ID: 1850330382 Enrollment ID: I20050425001241  | 
| Provider Name | Christopher D Jarvis | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1508860479 PECOS PAC ID: 3678516481 Enrollment ID: I20050602000909  | 
| Provider Name | Mark Alan Greenfield | 
|---|---|
| Provider Type | Practitioner - Anesthesiology | 
| Provider Identifiers | NPI Number: 1356343529 PECOS PAC ID: 1153235254 Enrollment ID: I20050608000119  | 
| Provider Name | Donald N Braun | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1790789659 PECOS PAC ID: 6800830464 Enrollment ID: I20050614001110  | 
| Provider Name | Todd A Brown | 
|---|---|
| Provider Type | Practitioner - General Surgery | 
| Provider Identifiers | NPI Number: 1023057247 PECOS PAC ID: 4880639467 Enrollment ID: I20050623000747  | 
| Provider Name | Heather L Frisbie | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1871555953 PECOS PAC ID: 3274548151 Enrollment ID: I20060214000344  | 
| Provider Name | Sonya M Jurgens | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1003872920 PECOS PAC ID: 6507954807 Enrollment ID: I20071120000660  | 
| Provider Name | Larry W Finley | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1548360738 PECOS PAC ID: 8426187873 Enrollment ID: I20101129000202  | 
| Provider Name | John R Shell | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1366446221 PECOS PAC ID: 7810958196 Enrollment ID: I20120116000075  | 
| Provider Name | Aaron Glen St Vrain | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1265412704 PECOS PAC ID: 8022163567 Enrollment ID: I20120321000689  | 
| Provider Name | Teresa N Camfield | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124383419 PECOS PAC ID: 8527218734 Enrollment ID: I20121024000834  | 
| Provider Name | Beverly M Clark | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1649404625 PECOS PAC ID: 6305099896 Enrollment ID: I20130111000395  | 
| Provider Name | Nicholas Adam Isakson | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1215281548 PECOS PAC ID: 5496992497 Enrollment ID: I20130510000543  | 
| Provider Name | Teresa K Pearson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1952733149 PECOS PAC ID: 7315172350 Enrollment ID: I20131030000172  | 
| Provider Name | Shannon Mawyin | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1184041204 PECOS PAC ID: 1254557408 Enrollment ID: I20140723001718  | 
| Provider Name | Jennifer M Chambers Daney | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1821499401 PECOS PAC ID: 3375763337 Enrollment ID: I20140925002419  | 
| Provider Name | Brenda S Salazar | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033669247 PECOS PAC ID: 5496033615 Enrollment ID: I20161024000298  | 
| Provider Name | Ashley R Beying | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1922451095 PECOS PAC ID: 5496034829 Enrollment ID: I20161108000707  | 
| Provider Name | Myra A Richard | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982141446 PECOS PAC ID: 5395002075 Enrollment ID: I20171205002595  | 
| Provider Name | Jason Kimm | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144749672 PECOS PAC ID: 8628332244 Enrollment ID: I20180508001466  | 
| Provider Name | Deedra J Frederick | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033618814 PECOS PAC ID: 0941565295 Enrollment ID: I20180607001426  | 
| Provider Name | Denise Renee Hamilton | 
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional | 
| Provider Identifiers | NPI Number: 1376187518 PECOS PAC ID: 8426482449 Enrollment ID: I20191230000764  | 
| Provider Name | Kisha M Patterson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1124677521 PECOS PAC ID: 0840626610 Enrollment ID: I20200214001673  | 
| Provider Name | Benjamin Smith | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1962063362 PECOS PAC ID: 6901233857 Enrollment ID: I20200305001517  | 
| Provider Name | Mindy L Thomas | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578170692 PECOS PAC ID: 3971914086 Enrollment ID: I20201123000809  | 
| Provider Name | William W Whisenhunt | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1578537072 PECOS PAC ID: 3476443193 Enrollment ID: I20230111000259  | 
| Provider Name | Erica Corrine Hadley | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1710314240 PECOS PAC ID: 3476781857 Enrollment ID: I20230210000013  | 
| Provider Name | Amy Diane Osner | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1568236537 PECOS PAC ID: 2961849799 Enrollment ID: I20240328000841  | 
| Provider Name | Tiffany Renae Mcroberts | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1396244737 PECOS PAC ID: 8820531270 Enrollment ID: I20240613003881  | 
County Of Coffey Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 S 6th St, Burlington, KS 66839 Phone: 620-364-8631 Fax: 620-364-2045  | |
Coffey County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 Sanders St, Burlington, KS 66839 Phone: 620-364-5395 Fax: 620-364-8719  |