Coffeyville Family Practice Clinic, P.A.
LBN: Coffeyville Family Practice Clinic, P.A.
Coffeyville Family Practice Clinic, P.A. is an health care organization with primary practice located at 209 W 7Th St , Coffeyville KS 67337-4903. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Coffeyville Family Practice Clinic, P.A. can be contacted via phone (620) 251-1100, or through Christensen, James L. via phone (620) 251-1100.
Contact Information
Primary practice address
209 W 7Th St
Coffeyville KS 67337-4903
Phone: (620) 251-1100
Fax: (620) 251-7466
Website:
Authorized official contact:
Name: Christensen, James L. Doctor of Osteopathy (DO)
Phone: (620) 251-1100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1083689327 |
|---|---|
| LBN Legal business name | Coffeyville Family Practice Clinic, P.A. |
| DBA Doing business as | |
| Authorized official | Christensen, James L. Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jun 6th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083689327 | NPPES |
| Oklahoma | Other | 100722460A | OKLAHOMA MEDICAID |
| Oklahoma | MEDICAID | 100098700A | OKLAHOMA MEDICAID |
| Oklahoma | Other | 009974 | OKLAHOMA MEDICAID |
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