COFFEYVILLE REGIONAL MEDICAL CENTER INC (NPI# 1124177191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124177191 |
| Entity Type | Organization |
| Organization Name | COFFEYVILLE REGIONAL MEDICAL CENTER INC |
| Practice Address |
1400 W 4th Street Coffeyville KS 67337 |
| Mailing Address |
1400 W 4th Street Coffeyville KS 67337-3306 |
| Practice Telephone | 6202511200 |
| Practice Fax Number | 6202521562 |
| Mailing Telephone | 6202511200 |
| Mailing Fax Number | 6202521562 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | BRIAN LAWRENCE (CEO) |
| Authorized Official Telephone | 6202521519 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 400 | KS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100107200G | 05 | |
| KS | BCBS | 005571 | 01 |
| OK | 100695360B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053862805 | Coffeyville Regional Medical Center Inc | Clinic/Center | 1400 W 4th St, Ste 100, Coffeyville, KS 67337-3306 | 2016-10-17 |
| 1528311024 | Coffeyville Regional Medical Center Inc | Pathology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2012-10-22 |
| 1265550891 | Coffeyville Regional Medical Center Inc | Emergency Medicine | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-03-26 |
| 1609943042 | Coffeyville Regional Medical Center Inc | Home Health | 908 Siggins St, Coffeyville, KS 67337-2921 | 2006-11-29 |
| Street Address |
1400 W 4TH STREET |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| 1265550891 | Coffeyville Regional Medical Center Inc | Emergency Medicine | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-03-26 |
| 1972630473 | Coffeyville Regional Medical Center | Durable Medical Equipment & Medical Supplies | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-02-28 |
| 1669531570 | Timothy A Belcher | Family Medicine | 1400 W 4th Street, Coffeyville Regional Medical Center Er Department, Coffeyville, KS 67337 | 2006-12-06 |
| 1417033549 | Coffeyville Regional Medical Center, Inc | Rehabilitation Unit | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1093047185 | Terry D Powell Radiation Oncologist, Inc. | Radiology | 1400 W 4th St, Radiation Oncology Dept, Coffeyville, KS 67337 | 2010-02-01 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1689666026 | Rhonda Michelle Line | Physician Assistant | 801 W 8th St, Coffeyville, KS 67337 | 2005-08-22 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053880005 | County of Bourbon | Ambulance | 1604 S National Ave, Fort Scott, KS 66701-2645 | 2018-11-20 |
| 1083125280 | County of Riley | Ambulance | 2011 Claflin Rd, Manhattan, KS 66502-3415 | 2017-10-16 |
| 1497265615 | Juliana M Petro | Ambulance | 7323 E 31st Ct N, Wichita, KS 67226-2212 | 2017-10-02 |
| 1912444118 | City of Stockton | Ambulance | 109 Sw 9th St, Plainville, KS 67663-3501 | 2017-01-25 |
| 1215354923 | City of Edwardsville Kansas | Ambulance | 698 S 4th St, Edwardsville, KS 66111-1390 | 2014-03-20 |
| 1043527575 | Haskell County | Ambulance | 300 S Inman, Haskell County Court House, Sublette, KS 67877-0980 | 2010-09-03 |
| 1548411069 | County of Gray | Ambulance | 101 W. Ave D., Cimarron, KS 67835-0568 | 2008-10-02 |
| 1477681617 | County of Hamilton | Ambulance | 609 N Barton, Syracuse, KS 67878 | 2007-03-01 |
| 1538227327 | Sublette Hospital Dist | Ambulance | 101 N Cody, Sublette, KS 67877 | 2006-12-05 |
| 1265509566 | Buhler Ems | Ambulance | 301 N. Main, Buhler, KS 67522 | 2006-11-29 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.