CRMC MEDICAL GROUP - INDEPENDENCE
NPI 1295284842
Clinic/Center - Rural Health in Independence, KS

Q: 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.

Active since September 23, 2016CLIA Certified · 2 labs

122 W MYRTLE ST LOWR LEVEL, INDEPENDENCE, KS 67301(620) 577-4062(620) 577-4064 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Sep 29, 2022, May 18, 2020 and 6 more (9 updates tracked since 2016).

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About Crmc Medical Group - Independence NPPES

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

CRMC MEDICAL GROUP - INDEPENDENCE (NPI 1295284842) is a healthcare organization registered as a rural health in Independence, Kansas and active in the NPI registry since September 2016. The organization holds 2 active CLIA laboratory certificates and lists Brian Lawrence, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295284842

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameCOFFEYVILLE REGIONAL MEDICAL CENTER, INC.

Location Address122 W MYRTLE ST LOWR LEVELIndependence, KS 67301-3317

Mailing Address1400 W 4th StCoffeyville, KS 67337-3306 · (620) 251-1200 · Fax (620) 252-1181

Phone(620) 577-4062

Fax(620) 577-4064

Organization SubpartYes

Authorized OfficialBrian LawrenceCeo · (620) 251-1200

Enumeration DateSeptember 23, 2016

Last NPPES UpdateMarch 17, 20239 updates tracked since enumeration

NPPES CertifiedMarch 17, 2023

✔ NPI 1295284842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

122 W MYRTLE ST LOWR LEVEL, Independence, KS 67301

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Other Names 1

Doing Business AsCrmc Medical Group - Independence

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 2

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 Waiver 17D2110673

Crmc Medical Group, Independence · Independence, KS

Active · expires Mar 21, 2028

CLIA Number17D2110673

Laboratory TypeRural Health Clinic

Certificate Effective DateMarch 22, 2026

Certificate Expiration DateMarch 21, 2028

Laboratory DirectorShravan Gangula

Laboratory Phone(620) 577-4062

Laboratory LocationCrmc Medical Group, Independence122 West Myrtle St, Lower Level, Independence, KS 67301

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D1035082

Crmc Medical Group · Coffeyville, KS

Active · expires Jul 10, 2027

CLIA Number17D1035082

Laboratory TypeRural Health Clinic

Certificate Effective DateJuly 11, 2025

Certificate Expiration DateJuly 10, 2027

Laboratory DirectorShravan Gangula

Laboratory Phone(620) 688-6566

Laboratory LocationCrmc Medical Group1411 W 4th Street, Coffeyville, KS 67337

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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 1295284842. It was assigned to this organization in the NPPES registry on September 23, 2016. The provider is doing business as Crmc Medical Group - Independence.

Where is Coffeyville Regional Medical Center, Inc. located?

Coffeyville Regional Medical Center, Inc. is located at 122 W Myrtle St Lowr Level, Independence, KS 67301. The listed phone number is (620) 577-4062.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.