COFFEYVILLE REGIONAL MEDICAL CENTER, INC. (NPI# 1285600379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285600379 |
| 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 | 2006-02-27 |
| 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 | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
H063002 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100695360A | 05 | |
| KS | 100107200A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1629579941 | Coffeyville Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2018-02-22 |
| 1699851725 | Coffeyville Regional Medical Center, Inc. | Psychiatric Unit | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| Street Address |
1400 W 4TH STREET |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1124177191 | Coffeyville Regional Medical Center Inc | Ambulance | 1400 W 4th Street, Coffeyville, KS 67337 | 2007-01-09 |
| 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 | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740445592 | South Central Kansas Regional Medical Center | General Acute Care Hospital | 6403 Patterson Pkwy, Arkansas City, KS 67005-5701 | 2008-07-22 |
| 1912116120 | Halstead Hospital & Rehabilitation Center, LLC | General Acute Care Hospital | 328 Poplar St, Halstead, KS 67056-2014 | 2007-05-22 |
| 1265482467 | Bob Wilson Memorial Grant County Hospital | General Acute Care Hospital | 415 N Main, Ulysses, KS 67880 | 2006-05-11 |
| 1003885112 | Newton Medical Center | General Acute Care Hospital | 500 Medical Center Drive, Newton, KS 67114 | 2006-03-14 |
| 1609842681 | South Central Kansas Regional Medical Center | General Acute Care Hospital | 6401 Patterson Pkwy, Arkansas City, KS 67005-5701 | 2006-02-28 |
| 1811432594 | St. Catherine Hospital | General Acute Care Hospital | 415 N Main St, Ulysses, KS 67880-2133 | 2017-01-04 |
| 1447516190 | South Central Kansas Regional Medical Center | General Acute Care Hospital | 6401 Patterson Pkwy, Arkansas City, KS 67005-5701 | 2012-04-06 |
| 1457622870 | Zivile Nauronyte | General Acute Care Hospital | 3901 Rainbow Blvd, Kansas City, KS 66160-3503 | 2012-01-17 |
| 1487921201 | Bob Wilson Memorial Grant County Hospital | General Acute Care Hospital | 415 N Main St, Ulysses, KS 67880-2133 | 2011-11-22 |
| 1801122353 | Atchison Hospital | General Acute Care Hospital | 1301 N 2nd St, Atchison, KS 66002-1297 | 2009-10-19 |
| 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.