| Organization Name: | COFFEYVILLE REGIONAL MEDICAL CENTER, INC. |
| NPI Number: | 1285600379 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORI REXWINKLE (CNO) |
| Mailing Address: | 1400 W 4th Street Coffeyville |
| State: | KS US |
| Postal Code: | 67337 |
| Phone Number: | 6202511200 |
| Fax Number: | 6202521562 |
| NPI Enumeration Date: | 02/27/2006 |
| NPI Last Update Date: | 02/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | H063002 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |