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COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
NPI 1083689327
Family Medicine in Coffeyville, KS

Active since February 21, 2006CLIA 17D0452201 · Accreditation
209 W 7TH ST, COFFEYVILLE, KS 67337(620) 251-1100(620) 251-7466 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coffeyville Family Practice Clinic, P.a. NPPES

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

COFFEYVILLE FAMILY PRACTICE CLINIC, P.A. (NPI 1083689327) is a healthcare organization registered as a family medicine in Coffeyville, Kansas and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through December 1, 2026 and lists James L. Christensen, Doctor, as its authorized official.

NPPES Registry Identity

NPI1083689327
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
Location Address209 W 7TH STCoffeyville, KS 67337-4903
Mailing AddressPo Box 564Coffeyville, KS 67337-0564 · (620) 251-1100 · Fax (620) 251-7466
Phone(620) 251-1100
Fax(620) 251-7466
Organization SubpartNo
Authorized OfficialJames L. ChristensenDoctor · (620) 251-1100
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJune 6, 2013
✔ NPI 1083689327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
209 W 7TH ST, Coffeyville, KS 67337
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Other Identifiers 5

Other100722460AOK · Oklahoma Medicaid
Medicaid100098700AKS
Other009974KS · Blue Cross Blue Shield
Medicare PIN009974KS
Medicare NSC0344220001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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 17D0452201

Coffeyville Family Practice Clinic · Coffeyville, KS
Active · expires Dec 1, 2026
CLIA Number17D0452201
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorSusan Newman
Laboratory Phone(620) 251-5410
Laboratory LocationCoffeyville Family Practice Clinic209 W 7th St, Coffeyville, KS 67337
CLIA data matches this NPI record on: Address Name
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 3

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

BRENDA LOUISE PURSLEY RPA-C
Physician Assistant (Medical)
209 W 7TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-1100
DR. JAMES LEROY CHRISTENSEN D.O.
Family Medicine
209 W 7TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-1100
DR. ALLEN DEAN GILLIS D.O.
Family Medicine
209 W 7TH ST
COFFEYVILLE, KS 67337
Montgomery County (620) 251-1100

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 Family Practice Clinic, P.A.'s NPI number?

The NPI number for Coffeyville Family Practice Clinic, P.A. is 1083689327. It was assigned to this organization in the NPPES registry on February 21, 2006.

Where is Coffeyville Family Practice Clinic, P.A. located?

Coffeyville Family Practice Clinic, P.A. is located at 209 W 7th St, Coffeyville, KS 67337. The listed phone number is (620) 251-1100.

What is Coffeyville Family Practice Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Coffeyville Family Practice Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 17D0452201) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coffeyville Family Practice Clinic, P.A. accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Coffeyville Family Practice Clinic, P.A. 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 Family Practice Clinic, P.A. was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.