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Organization
COFFEYVILLE REGIONAL MEDICAL CENTER, INC
Active
Organization
COFFEYVILLE REGIONAL MEDICAL CENTER, INC
Active
Parent organization
COFFEYVILLE REGIONAL MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COFFEYVILLE REGIONAL MEDICAL CENTER, INC
Authorized official
BRIAN LAWRENCE (CEO)
(620) 251-1200
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 688-6566
(620) 688-6577
Mailing address
PO BOX 505262, SAINT LOUIS, MO 63150-5262
(620) 688-6566
(620) 688-6577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
05/02/2011
Last updated
03/17/2023
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