COFFEYVILLE REGIONAL MEDICAL CENTER (NPI# 1972630473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972630473 |
| Entity Type | Organization |
| Organization Name | COFFEYVILLE REGIONAL MEDICAL CENTER |
| 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 | 2007-02-28 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | LORI REXWINKLE (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 | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
H063002 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100296870B | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COFFEYVILLE REGIONAL MEDICAL CENTER FOUNDATION | 1400 W 4th St, Coffeyville, KS 67337-3306 |
| 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 |
| 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 | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306485123 | Douglas Myers | Durable Medical Equipment & Medical Supplies | 210 E 30th Ave Ste 120, Hutchinson, KS 67502-2463 | 2019-12-26 |
| 1861958530 | Res-care Kansas, Inc | Durable Medical Equipment & Medical Supplies | 3000 Pecanwood Dr, Manhattan, KS 66502-2208 | 2019-02-18 |
| 1396200663 | Valerie C Wondra | Durable Medical Equipment & Medical Supplies | 301 S Meridian Ave Rm 113, Wichita, KS 67213-2629 | 2019-01-31 |
| 1215437397 | Brace Yourself | Durable Medical Equipment & Medical Supplies | 1510 Taylor Plz E, Garden City, KS 67846-4055 | 2018-02-15 |
| 1972912392 | Green's Home Improvement LLC | Durable Medical Equipment & Medical Supplies | 1508 Sw 41st St, Topeka, Topeka, KS 66609-1200 | 2014-08-11 |
| 1821411497 | Hotasan Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 6602 E Harry St, Wichita, KS 67207-2962 | 2014-02-01 |
| 1326461575 | Midwest Building Suppy, Inc | Durable Medical Equipment & Medical Supplies | 201 E. 6th St. Cr., Goddard, KS 67052 | 2014-01-23 |
| 1447672571 | Heartland O&p, Inc | Durable Medical Equipment & Medical Supplies | 919 Westport Pl, Manhattan, KS 66502-2913 | 2014-01-08 |
| 1902238702 | Wmk Enterprises LLC | Durable Medical Equipment & Medical Supplies | 14719 W 114th Ter, Lenexa, KS 66215-4882 | 2013-08-02 |
| 1043597784 | West Side Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 602 N Webb Rd Ste 108, Wichita, KS 67206-1803 | 2011-11-09 |
| Find all providers with the same taxonomy | ||||
| City | COFFEYVILLE |
| Zip Code | 67337 |
Please comment or provide details below to improve the information on COFFEYVILLE REGIONAL MEDICAL CENTER.
| 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.