Organization
COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LAWRENCE (CEO)
(620) 251-1200
Entity
Organization
Contact information
Practice address
1400 W 4TH STREET, COFFEYVILLE, KS 67337
(620) 251-1200
(620) 252-1562
Mailing address
1400 W 4TH STREET, COFFEYVILLE, KS 67337-3306
(620) 251-1200
(620) 252-1562
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
H063002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107200A
—
KS
05
—
100695360A
—
OK
Enumeration date
02/27/2006
Last updated
04/11/2024
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