COFFEYVILLE REGIONAL MEDICAL CENTER, INC (NPI# 1417033549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417033549 |
| 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 | 6202521181 |
| Mailing Telephone | 6202511200 |
| Mailing Fax Number | 6202521181 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | MRS. LORI REXWINKLE (CNO) |
| 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 | 273Y00000X | Rehabilitation Unit | H063002 | KS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | KS FACILITY LICENSE # | H063002 | 01 |
| KS | 100107200D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407147903 | Coffeyville Regional Medical Center, Inc | Neurological Surgery | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2011-05-02 |
| 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 |
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 |
| 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 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407247919 | Amy Hartman | Rehabilitation Unit | 1367 Saratoga Rd, Wathena, KS 66090-4136 | 2015-02-05 |
| 1124274865 | Carolyn Hansen | Rehabilitation Unit | 600 Casson Hill Rd., Fort Riley, KS 66442 | 2008-08-13 |
| 1235193269 | Salina Regional Health Center, Inc. | Rehabilitation Unit | 400 S. Santa Fe, Salina, KS 67401 | 2006-04-14 |
| 1972582724 | University of Kansas Hospital Authority | Rehabilitation Unit | 3910 Rainbow Blvd, Kansas City, KS 66103-2918 | 2006-01-11 |
| 1922008895 | Ascension Via Christi Hospital Manhattan, Inc. | Rehabilitation Unit | 1823 College Ave, Manhattan, KS 66502-3381 | 2005-07-21 |
| 1669991675 | Topeka Hospital, LLC | Rehabilitation Unit | 1700 Sw 7th St, Topeka, KS 66606-2489 | 2017-09-12 |
| 1255699344 | Ascension Via Christi Hospital St Teresa Inc. | Rehabilitation Unit | 14800 W Saint Teresa St, Wichita, KS 67235-9602 | 2012-04-26 |
| 1316064538 | Key Rehabilitation Inc | Rehabilitation Unit | 801 S 8th St, Atchison, KS 66002-2724 | 2007-03-23 |
| 1093879868 | Pinnacle Health Facilities Xviii Lp | Rehabilitation Unit | 427 W Main St, Gardner, KS 66030-1183 | 2006-12-19 |
| 1154407344 | Geary County Hospital | Rehabilitation Unit | 1102 Saint Marys Rd, Junction City, KS 66441-4139 | 2006-10-31 |
| 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.