Provider Demographics
NPI:1417032772
Name:COFFEY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:COFFEY COUNTY HOSPITAL
Other - Org Name:THE MEADOWS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-364-2121
Mailing Address - Street 1:801 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66839-2602
Mailing Address - Country:US
Mailing Address - Phone:620-364-2121
Mailing Address - Fax:620-364-8425
Practice Address - Street 1:1201 MARTINDALE ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KS
Practice Address - Zip Code:66839-2400
Practice Address - Country:US
Practice Address - Phone:620-364-8861
Practice Address - Fax:620-364-5504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility