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

Coffeyville Regional Medical Center, Inc

Organization Family Medicine Physician · NPI 1407147903

Coffeyville Regional Medical Center, Inc is a Family Medicine Physician in Coffeyville, Kansas. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
4
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
Coffeyville, KS 67337-3306
Phone: (620) 688-6566
Fax: (620) 688-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Neurological Surgery Physician Taxonomy 207T00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Family Health Clinical Nurse Specialist Taxonomy 364SF0001X

Record details

NPI number1407147903
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCoffeyville Regional Medical Center, Inc
Authorized official Brian Lawrence — Ceo · (620) 251-1200
NPI enumeratedMay 2, 2011
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing addressPo Box 505262, Saint Louis, MO 63150-5262

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