Coffeyville Doctors Clinic P A

LBN: Coffeyville Doctors Clinic P A
Coffeyville Doctors Clinic P A is an health care organization with primary practice located at 801 W 8Th St , Coffeyville KS 67337-4109. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Coffeyville Doctors Clinic P A can be contacted via phone (620) 251-7500, or through Lin, James C. via phone (620) 251-7500.

Contact Information

Primary practice address
801 W 8Th St Coffeyville KS 67337-4109
Phone: (620) 251-7500
Fax: (620) 252-1715
Website:
Map and Directions
Authorized official contact:
Name: Lin, James C. Doctor of Medicine (MD)
Phone: (620) 251-7500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1144329061
LBN Legal business name Coffeyville Doctors Clinic P A
DBA Doing business as
Authorized official Lin, James C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Feb 28th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144329061 NPPES
Other 003973 BLUE CROSS/BLUE SHIELD
MEDICAID 100088520A BLUE CROSS/BLUE SHIELD
MEDICAID 100722430A BLUE CROSS/BLUE SHIELD

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