Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coffeyville Regional Medical Center Inc

Organization Rural Health Clinic/Center · NPI 1053862805

Coffeyville Regional Medical Center Inc is a Rural Health Clinic/Center in Coffeyville, Kansas. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 W 4th St Ste 100
Coffeyville, KS 67337-3306
Phone: (620) 688-6566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1053862805
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoffeyville Regional Medical Center Inc
Authorized official Brian Lawrence — Ceo · (620) 251-1200
NPI enumeratedOctober 17, 2016
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address1400 W 4th St, Coffeyville, KS 67337-3306

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