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COFFEYVILLE REGIONAL MEDICAL CENTER INC
NPI 1053862805
Clinic/Center - Rural Health in Coffeyville, KS

Active since October 17, 2016CLIA 17D0452202 · Accreditation
1400 W 4TH ST, STE 100, COFFEYVILLE, KS 67337(620) 688-6566 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2023, May 18, 2020, Jan 15, 2018 and 4 more (7 updates tracked since 2016).

About Coffeyville Regional Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEYVILLE REGIONAL MEDICAL CENTER INC (NPI 1053862805) is a healthcare organization registered as a rural health in Coffeyville, Kansas and active in the NPI registry since October 2016. The organization holds an CLIA Accreditation certificate valid through January 2, 2027 and lists Brian H Lawrence, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053862805
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOFFEYVILLE REGIONAL MEDICAL CENTER INC
Location Address1400 W 4TH ST, STE 100Coffeyville, KS 67337-3306
Mailing Address1400 W 4th StCoffeyville, KS 67337-3306 · (620) 251-1200 · Fax (620) 252-1562
Phone(620) 688-6566
Organization SubpartYes
Authorized OfficialBrian H LawrenceCeo · (620) 251-1200
Enumeration DateOctober 17, 2016
Last NPPES UpdateMarch 17, 20237 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1053862805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1400 W 4TH ST, Coffeyville, KS 67337
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 17D0452202

Coffeyville Regional Medical Center · Coffeyville, KS
Active · expires Jan 2, 2027
CLIA Number17D0452202
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Todd Wullschleger
Laboratory Phone(620) 251-1200
Laboratory LocationCoffeyville Regional Medical Center1400 W 4th St, Coffeyville, KS 67337
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY D PHIPPS CRNA
Nurse Anesthetist, Certified Registered
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 252-1200
MARY BETH HARTLEY APRN
Nurse Practitioner
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 688-6566
NATHAN W. UY, MD, PA
Radiology (Radiation Oncology)
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 252-1684
ANN L MURROW ARNP
Nurse Practitioner (Family)
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 252-1613
GERY HSU MD
Neurological Surgery
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 252-1639
MR. CHAD YOUNG MCCREADY PA-C
Physician Assistant
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-1200
COFFEYVILLE EMERGENCY PHYSICIANS, LLC
Emergency Medicine (Emergency Medical Services)
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 252-1649
SUSAN D JENKINS C.R.N.A.
Nurse Anesthetist, Certified Registered
1400 W 4TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coffeyville Regional Medical Center Inc's NPI number?

The NPI number for Coffeyville Regional Medical Center Inc is 1053862805. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Coffeyville Regional Medical Center Inc located?

Coffeyville Regional Medical Center Inc is located at 1400 W 4th St Ste 100, Coffeyville, KS 67337. The listed phone number is (620) 688-6566.

What is Coffeyville Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Coffeyville Regional Medical Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D0452202) is associated with this NPI, valid through January 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coffeyville Regional Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Coffeyville Regional Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coffeyville Regional Medical Center Inc was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.