COFFEY COUNTY MEDICAL CENTER (NPI# 1922003995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922003995 |
| Entity Type | Organization |
| Organization Name | COFFEY COUNTY MEDICAL CENTER |
| Other Organization Name | GRIDLEY MEDICAL CLINIC |
| Practice Address |
321 Atherly Gridley KS 66852 |
| Mailing Address |
Po Box 289 Burlington KS 66839-0289 |
| Practice Telephone | 6208362915 |
| Practice Fax Number | 6208362917 |
| Mailing Telephone | 6203645395 |
| Mailing Fax Number | 6203648719 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEANNA WOLKEN (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6203645395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | KS | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Gridley Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912088 | Coffey County Medical Center | Family Medicine | 302 Pearson Ave, Waverly, KS 66871-9676 | 2005-06-16 |
| 1548264195 | Coffey County Medical Center | Family Medicine | 538 N C Street, Leroy, KS 66857 | 2005-06-10 |
| 1760486690 | Coffey County Medical Center | Orthopaedic Surgery | 309 Sanders St, Burlington, KS 66839-2616 | 2005-06-09 |
| 1356345888 | Coffey County Medical Center | Clinic/Center | 1004 E Madison St, Yates Center, KS 66783-1314 | 2005-06-13 |
| Street Address |
321 ATHERLY |
| City | GRIDLEY |
| State | KS |
| Zip Code | 66852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134110406 | Rick Dale Smith | General Practice | 402 Main St, Gridley, KS 66852-9777 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699373670 | Luis Orozco | Behavior Technician | 1630 Bowwood St., Gridley, CA 95948 | 2020-10-13 |
| 1679197073 | Tanabe Family Dentistry | Clinic/Center | 947 Magnolia St, Gridley, CA 95948-3020 | 2020-06-01 |
| 1639718570 | Emma Marie Whisker | Specialist/Technologist | 105 Boulder Dr, Gridley, IL 61744-9271 | 2019-12-23 |
| 1386111383 | Jason Vernon Santibanez | Counselor | 608 Kentucky St, Gridley, CA 95948-2118 | 2018-10-28 |
| 1205348158 | Andrea Louise Patane | Chiropractor | 1788 Highway 99, Gridley, CA 95948-2210 | 2017-11-01 |
| 1902323983 | Jessica Leeann Hewitt | Counselor | 200 E Spruce St, Gridley, CA 95948-2263 | 2017-08-29 |
| 1255865432 | Jose Solis | Physical Therapist | 364 Bayberry Way, Gridley, CA 95948-2804 | 2017-04-14 |
| 1285165837 | Johnpaul Riddles | Licensed Vocational Nurse | 905 Fairview Dr, Gridley, CA 95948-2206 | 2017-03-24 |
| 1295278612 | Northern California Therapy Services Inc. | Clinic/Center | 606 Center Ave, Gridley, CA 95948-9718 | 2016-12-03 |
| 1447709944 | Astrid Vera | Behavior Technician | 1065 Gridley Ave, Gridley, CA 95948-9727 | 2016-09-25 |
| Find all providers in GRIDLEY | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457360927 | Maralee Cartner Bowers | Family Medicine | 225 Spruce St, Gridley, CA 95948-2215 | 2006-08-05 |
| 1285621441 | Carmelito Dechavez | Family Medicine | 520 Kentucky St, Gridley, CA 95948-2116 | 2005-10-03 |
| 1912553090 | Adventist Health Physicians Network | Family Medicine | 225 Spruce St, Gridley, CA 95948-2215 | 2019-08-14 |
| 1760760128 | Hanna Rhee Md Inc | Family Medicine | 912 Hazel St, Gridley, CA 95948-2114 | 2011-08-02 |
| 1861595233 | Hossein Abed-amoli | Family Medicine | 520 Kentucky St, Gridley, CA 95948-2116 | 2006-09-07 |
| 1992808976 | Albert Nielsen | Family Medicine | 225 Spruce St, Gridley, CA 95948-2215 | 2006-09-06 |
| 1659473486 | James C Brown Jr. | Family Medicine | 225 Spruce St, Gridley, CA 95948-2215 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| Find all providers with the same taxonomy | ||||
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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.