COFFEYVILLE FAMILY PRACTICE CLINIC P.A. NPI 1083689327

NPI Information

  • NPI: 1083689327
  • Provider Name: COFFEYVILLE FAMILY PRACTICE CLINIC, P.A.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 209 W 7TH ST
    COFFEYVILLE, KS
    ZIP 67337
  • Phone: (620) 251-1100

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NPI Details

COFFEYVILLE FAMILY PRACTICE CLINIC, P.A. is a family medicine in Coffeyville, KS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COFFEYVILLE FAMILY PRACTICE CLINIC, P.A. NPI is 1083689327. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

209 W 7TH ST
COFFEYVILLE, KS
ZIP 67337-903
Phone: (620) 251-1100
Fax: (620) 251-7466

The provider's authorized official is James L. Christensen .
The authorized official title is Doctor and has the following contact phone number (620) 251-1100.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 6/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100722460AOTHEROKLAHOMAOKLAHOMA MEDICAID
2100098700AMEDICAIDKANSAS
3009974OTHERKANSASBLUE CROSS BLUE SHIELD
4009974MEDICARE PINKANSAS
50344220001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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