Organization Name: | COFFEYVILLE EMERGENCY PHYSICIANS, LLC |
NPI Number: | 1154405744 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERRY MARGUETTE (CEO) |
Mailing Address: | 1400 W 4th St Coffeyville |
State: | KS US |
Postal Code: | 673373306 |
Phone Number: | 6202521649 |
Fax Number: | 6202521699 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |