| Coffey County Medical Center | |
|
309 Sanders St Burlington KS 66839-2616 | |
| (620) 364-5395 | |
| (620) 364-8719 |
| Full Name | Coffey County Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 309 Sanders St, Burlington, Kansas |
| Authorized Official Name and Position | Stacy Nicole Augustyn (CEO) |
| 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 Medical Center 309 Sanders St Burlington KS 66839-2616 Ph: (620) 364-5395 | Coffey County Medical Center 309 Sanders St Burlington KS 66839-2616 Ph: (620) 364-5395 |
| NPI Number | 1760486690 |
|---|---|
| Provider Enumeration Date | 06/09/2005 |
| Last Update Date | 04/09/2026 |
| Medicare PECOS PAC ID | 4880588391 |
|---|---|
| Medicare Enrollment ID | O20040213000197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760486690 | NPI | - | NPPES |
| 100098740A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kansas) | Primary |
| 207X00000X | Orthopaedic Surgery | (Kansas) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 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 | 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 | 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 | John R Shell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366446221 PECOS PAC ID: 7810958196 Enrollment ID: I20120116000075 |
| Provider Name | Beverly M Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649404625 PECOS PAC ID: 6305099896 Enrollment ID: I20130111000395 |
| 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 | Deedra J Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618814 PECOS PAC ID: 0941565295 Enrollment ID: I20180607001426 |
| 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: 801 N 4th St, Burlington, KS 66839 Phone: 620-364-2121 Fax: 620-364-4525 | |
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 |