COFFEYVILLE REGIONAL MEDICAL CENTER, INC. (NPI# 1295284842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295284842 |
| Entity Type | Organization |
| Organization Name | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | CRMC MEDICAL GROUP - INDEPENDENCE |
| Practice Address |
122 W Myrtle St Lowr Level Independence KS 67301-3317 |
| Mailing Address |
1400 W 4th St Coffeyville KS 67337-3306 |
| Practice Telephone | 6205774062 |
| Mailing Telephone | 6202511200 |
| Mailing Fax Number | 6202521181 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | BRIAN H. LAWRENCE (CEO) |
| Authorized Official Telephone | 6202521519 |
| Is Organization Subpart | Y |
| Parent Organization Name | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CRMC MEDICAL GROUP - INDEPENDENCE | Doing Business As Name - Organization |
| 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 |
| 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 |
| Oklahoma Business Registrations | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. | 1400 W 4th St, Coffeyville, KS 67337 |
| Street Address |
122 W MYRTLE ST LOWR LEVEL |
| City | INDEPENDENCE |
| State | KS |
| Zip Code | 67301-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509217 | Lee Ann Gingery | Social Worker | 116 1/2 West Myrtle, Independence, KS 67301 | 2019-07-11 |
| 1801180070 | Jeffrey Neil Carnes | Counselor | 1101 Donald Avenue, Independence, KS 67301 | 2011-06-06 |
| 1699099077 | Four County Mental Health Center | Home Health | 415 Fruitland, Independence, KS 67301 | 2010-03-15 |
| 1558570234 | Rahab M Nduati | Occupational Therapist | 1000 W Mulberry Street, Independence, KS 67301 | 2007-05-21 |
| 1164639779 | Robert M Osborn Do Pa | Family Medicine | 400 N. 14th St., Independence, KS 67301 | 2007-05-16 |
| 1619198280 | Michael Alford | Social Worker | 3751 West Main, Independence, KS 67301 | 2007-05-01 |
| 1699836650 | Dacia Christine Thiele | Social Worker | 200 Arco Suite 501, Independence, KS 67301 | 2006-12-13 |
| 1134157167 | Carl L Mitchell Jr. | Social Worker | 220 E. Chestnut, Independence, KS 67301 | 2006-06-29 |
| 1437118239 | Renal Treatment Centers West Inc | Clinic/Center | 801 W Myrtle St, Independence, KS 67301 | 2006-03-21 |
| 1649767112 | Rachael Dawn Miles | Counselor | 3751 W Main St, Independence, KS 67301 | 2018-04-19 |
| Find all providers in zip 67301 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1780636480 | Gundersen Clinic, Ltd. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2006-05-17 |
| 1801362330 | Labette County Medical Center | Clinic/Center | 209 N 6th St Ste 103, Independence, KS 67301-3100 | 2018-10-23 |
| 1003251802 | Wilson County Hospital | Clinic/Center | 1415 N Penn Ave, Independence, KS 67301-2222 | 2013-05-07 |
| 1285988733 | Tri-county Memorial Hospital, Inc. | Clinic/Center | 35791 Osseo Rd, Independence, WI 54747-9096 | 2012-11-06 |
| 1437275377 | Independence Family Care Center, PC | Clinic/Center | 217 S Independence Ave, Independence, VA 24348-2802 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| 1700180403 | The Family Physicians Pa | Clinic/Center | 111 S 9th, Humboldt, KS 66748-1809 | 2011-01-10 |
| 1255632840 | Cah Acquisition Company 2 LLC | Clinic/Center | 429 Maple Street, Box 106, Chetopa, KS 67336 | 2010-11-12 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 67301 |
Please comment or provide details below to improve the information on COFFEYVILLE REGIONAL MEDICAL CENTER, INC..
| 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.