| Coffeyville Regional Medical Center, Inc. | |
|
122 W Myrtle St Lowr Level Independence KS 67301-3317 | |
| (620) 577-4062 | |
| (620) 577-4064 |
| Full Name | Coffeyville Regional Medical Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 W Myrtle St Lowr Level, Independence, Kansas |
| Authorized Official Name and Position | Brian Lawrence (CEO) |
| Authorized Official Contact | 6202511200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffeyville Regional Medical Center, Inc. 1400 W 4th St Coffeyville KS 67337-3306 Ph: (620) 251-1200 | Coffeyville Regional Medical Center, Inc. 122 W Myrtle St Lowr Level Independence KS 67301-3317 Ph: (620) 577-4062 |
| NPI Number | 1295284842 |
|---|---|
| Provider Enumeration Date | 09/23/2016 |
| Last Update Date | 03/17/2023 |
| Medicare PECOS PAC ID | 9032108865 |
|---|---|
| Medicare Enrollment ID | O20170710001364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295284842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Wilson County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1415 N Penn Ave, Independence, KS 67301 Phone: 620-331-2400 Fax: 620-331-0747 | |
Gregory H. Mears, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Arco Pl, Suite 333, Independence, KS 67301 Phone: 620-331-5440 Fax: 620-331-3791 | |
Johnson Chiropractic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 E Main St, Independence, KS 67301 Phone: 620-331-0601 | |
Labette County Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Peter Pan Rd Ste B, Independence, KS 67301 Phone: 620-577-4310 | |
Robert M Osborn Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N. 14th St., Independence, KS 67301 Phone: 620-331-2070 | |
Montgomery County Community Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Myrtle St, Suite 105, Independence, KS 67301 Phone: 620-331-8190 Fax: 620-652-4143 |