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 H LAWRENCE (CEO)
(620) 251-1200
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, STE 100, COFFEYVILLE, KS 67337-3306
(620) 688-6566
Mailing address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 251-1200
(620) 252-1562
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
03/17/2023
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