Coffeyville Family Practice Clinic, P.a.
Organization Active NPI Urgent Care Clinic/Center · Coffeyville, KS
NPI 1487080800 · NPPES record last updated Sep 17, 2013
Key facts
- NPI
- 1487080800
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
- Practice address
- 1318 W 11TH St
Coffeyville, KS 67337-3608 - Phone
- (620) 688-6373
- Fax
- (620) 688-6313
- NPI assigned
- Sep 17, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
Authorized official
- Name
- James Leroy Christensen, D.O.
- Title
- Owner/President/Physician
- Phone
- (620) 251-1100
Parent organization (reported in NPPES) 1
Practitioners 7
-
James Leroy Christensen, D.O.
-
Jodi Oder, APRN-CNP
-
Stacey L Weil, APRN
-
Janna K Eisenbart, ARNP
-
Melissa J McIntosh, M.D.
-
Britni Dawn Stewart, APRN-C
-
Patrick Joseph Allen, D.O.
National Provider Directory
- Part of
- Coffeyville Family Practice
Locations
209 W 7th St
Coffeyville, KS 67337
Phone (316) 251-1100
1318 W 11th St
Coffeyville, KS 67337
Phone (620) 688-6373
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
1318 W 11TH St
Coffeyville, KS 67337-3608
Mailing address
209 W 7TH St
C/O Coffeyville Family Practice Clinic, P.a.
Coffeyville, KS 67337-4954
Phone (620) 251-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100098700A | Medicaid | KS |
Other names
- Priority Health Of Coffeyville Urgent Care
Other providers in Coffeyville, KS
- McKenzie Clay
- Coffeyville Chiropractic
- Coffeyville Doctors Clinic P a
- Coffeyville Emergency Physicians, LLC
- Coffeyville Family Practice Clinic, P.a.
- Coffeyville Optic Shop LLC
- Coffeyville Orthopaedics, PA
- Coffeyville Regional Medical Center Inc
- Coffeyville Regional Medical Center Inc
- Coffeyville Regional Medical Center Inc
All providers in Coffeyville, KS · Urgent Care Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.