NPIMap

Organization Active NPI

Coffeyville Family Practice Clinic, P.a.

Doing business as Priority Health Of Coffeyville Urgent Care

  • Urgent Care Clinic/Center
  • Coffeyville, KS
National Provider Identifier
1487080800
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
Doing business as
Priority Health Of Coffeyville Urgent Care
Practice address
1318 W 11TH St
Coffeyville, KS 67337-3608
Phone
(620) 688-6373
Fax
(620) 688-6313
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James Leroy Christensen, D.O.NPI 1447238688
Title
Owner/President/Physician
Phone
(620) 251-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

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 names 1

  • Priority Health Of Coffeyville Urgent Care Doing business as

National Provider Directory

National Provider Directory
Part of
Coffeyville Fam Pract C

Locations

1318 W 11th St
Coffeyville, KS 67337
Phone (620) 688-6373

209 W 7th St
Coffeyville, KS 67337
Phone (316) 251-1100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1487080800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 7TH ST",
            "address_2": "C/O COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374954",
            "telephone_number": "620-251-1100",
            "fax_number": "620-251-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 W 11TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373608",
            "telephone_number": "620-688-6373",
            "fax_number": "620-688-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "620-251-1100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priority Health Of Coffeyville Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.