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Organization

COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.

Active
Parent organization
COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
Other names
Priority Health Of Coffeyville Urgent Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
Authorized official
JAMES LEROY CHRISTENSEN D.O. (OWNER/PRESIDENT/PHYSICIAN)
(620) 251-1100
Entity
Organization

Contact information

Practice address
1318 W 11TH ST, COFFEYVILLE, KS 67337-3608
(620) 688-6373
(620) 688-6313
Mailing address
209 W 7TH ST, C/O COFFEYVILLE FAMILY PRACTICE CLINIC, P.A., COFFEYVILLE, KS 67337-4954
(620) 251-1100
(620) 251-7466

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098700A
KS
Enumeration date
09/17/2013
Last updated
09/17/2013
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