Active NPI
Coffeyville Regional Medical Center, Inc.
- Community/Retail Pharmacy
- Coffeyville, KS
National Provider Identifier
1770496812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
- Practice address
- 1001 W 11TH St
Coffeyville, KS 67337-4220 - Phone
- (620) 251-2150
- Fax
- (620) 251-0022
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- Yes
- Parent organization
- COFFEYVILLE REGIONAL MEDICAL CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Lawrence
- Title
- President & Ceo
- Phone
- (620) 252-1519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
1001 W 11TH St
Coffeyville, KS 67337-4220
Mailing address
1001 W 11TH St
Coffeyville, KS 67337-4220
Phone (620) 251-2150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1770496812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W 11TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673374220",
"telephone_number": "620-251-2150",
"fax_number": "620-251-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W 11TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673374220",
"telephone_number": "620-251-2150",
"fax_number": "620-251-0022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COFFEYVILLE REGIONAL MEDICAL CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COFFEYVILLE REGIONAL MEDICAL CENTER, INC.",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "620-252-1519",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, KS
- Coffeyville Regional Medical Center Inc
- Coffeyville Regional Medical Center Inc
- Coffeyville Regional Medical Center, Inc
- Coffeyville Regional Medical Center, Inc.
- Coffeyville Regional Medical Center, Inc. (CRMC Community RX)
- Maxime Jean-Marie Coles, M.D.
- Community Health Center of Southeast Kanas, Inc. (Apothecare - Coffeyville)
- Community Health Center of Southeast Kansas Inc
- Community Health Center of Southeast Kansas, Inc
- Community Health Center of Southeast Kansas, Inc. (CHC/Sek's Field Kindley Student Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.