Provider Demographics
NPI:1922246354
Name:COFFEY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:COFFEY COUNTY HOSPITAL
Other - Org Name:YATES CENTER MEDICAL CENTER RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-364-2121
Mailing Address - Street 1:1004 E MADISON ST
Mailing Address - Street 2:PO BOX 70
Mailing Address - City:YATES CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66783-1314
Mailing Address - Country:US
Mailing Address - Phone:620-625-2312
Mailing Address - Fax:620-625-3560
Practice Address - Street 1:1004 E MADISON ST
Practice Address - Street 2:
Practice Address - City:YATES CENTER
Practice Address - State:KS
Practice Address - Zip Code:66783-1314
Practice Address - Country:US
Practice Address - Phone:620-625-2312
Practice Address - Fax:620-625-3560
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COFFEY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-01-22
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health