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General NPI Number Information
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NPI Number | 1376548370
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Entity Type | Organization
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Legal Business Name | COFFEY COUNTY HOSPITAL
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 01/15/2019
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Provider Practice Location Address
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Address Line | 801 N 4TH
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City | BURLINGTON
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State | KS
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Zip | 66839-2602
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Country | US
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Telephone | 620-364-2121
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Fax | 620-364-4525
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Provider Business Mailing Address
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Address Line | 801 N 4TH ST
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City | BURLINGTON
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State | KS
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Zip | 66839-2602
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Country | US
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Telephone | 620-364-2121
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Fax | 620-364-8425
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Authorized Official
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Title or Position | BILLING MANANGER
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Name | MERRI MICHAELS
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Credential |
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Telephone | 620-364-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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