GRIDLEY MEDICAL CLINIC
NPI 1922003995
Family Medicine in Gridley, KS

Q: What is Coffey County Medical Center's NPI number?

The NPI number for Coffey County Medical Center is 1922003995. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Gridley Medical Clinic.

Q: What is Coffey County Medical Center's specialty?

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

Active since June 16, 2005CLIA 17D1019091 · Waiver

321 ATHERLY, GRIDLEY, KS 66852(620) 836-2915(620) 836-2917 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

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About Gridley Medical Clinic NPPES

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

GRIDLEY MEDICAL CLINIC (NPI 1922003995) is a healthcare organization registered as a family medicine in Gridley, Kansas and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through November 9, 2027 and lists Deanna Wolken, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1922003995

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOFFEY COUNTY MEDICAL CENTER

Location Address321 ATHERLYGridley, KS 66852

Mailing AddressPo Box 289Burlington, KS 66839-0289 · (620) 364-5395 · Fax (620) 364-8719

Phone(620) 836-2915

Fax(620) 836-2917

Organization SubpartNo

Authorized OfficialDeanna WolkenClinic Administrator · (620) 364-5395

Enumeration DateJune 16, 2005

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1922003995 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.

321 ATHERLY, Gridley, KS 66852

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Other Names 1

Doing Business AsGridley Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Waiver 17D1019091

Gridley Medical Clinic · Gridley, KS

Active · expires Nov 9, 2027

CLIA Number17D1019091

Laboratory TypeRural Health Clinic

Certificate Effective DateNovember 10, 2025

Certificate Expiration DateNovember 9, 2027

Laboratory DirectorJohn Shell

Laboratory Phone(620) 836-2915

Laboratory LocationGridley Medical Clinic321 Atherly, Gridley, KS 66852

CLIA data matches this NPI record on: Address Name Phone

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 Coffey County Medical Center's NPI number?

The NPI number for Coffey County Medical Center is 1922003995. It was assigned to this organization in the NPPES registry on June 16, 2005. The provider is doing business as Gridley Medical Clinic.

Where is Coffey County Medical Center located?

Coffey County Medical Center is located at 321 Atherly, Gridley, KS 66852. The listed phone number is (620) 836-2915.

What is Coffey County Medical Center's specialty?

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

Does Coffey County Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D1019091) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coffey County Medical Center 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 Coffey County Medical Center 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 Coffey County Medical Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.