# ROCK REGIONAL HOSPITAL, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROCK REGIONAL HOSPITAL, LLC
- **Other names:** Rock Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790419885
- **Legal business name:** ROCK REGIONAL HOSPITAL, LLC
- **Authorized official:** KRISTA JEANNETTE COPPING (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (316) 425-2416

## Contact information

- **Practice address:** 606 N MULBERRY RD, DERBY, KS 67037-3532
- **Practice address phone:** (307) 257-0306
- **Mailing address:** 3251 N ROCK RD, DERBY, KS 67037-3850
- **Mailing address phone:** (307) 257-0306
- **Mailing address fax:** (316) 425-2401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 07/13/2022