| Coffeyville Doctors Clinic P A | |
|
801 W 8th St Coffeyville KS 67337-4109 | |
| (620) 251-7500 | |
| (620) 252-1715 |
| Full Name | Coffeyville Doctors Clinic P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 W 8th St, Coffeyville, Kansas |
| Authorized Official Name and Position | James C. Lin (PRESIDENT) |
| Authorized Official Contact | 6202517500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coffeyville Doctors Clinic P A 801 W 8th St P O Box 1057 Coffeyville KS 67337-4109 Ph: (620) 251-7500 | Coffeyville Doctors Clinic P A 801 W 8th St Coffeyville KS 67337-4109 Ph: (620) 251-7500 |
| NPI Number | 1144329061 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144329061 | NPI | - | NPPES |
| 003973 | Other | BLUE CROSS/BLUE SHIELD | |
| 100088520A | Medicaid | KS | |
| 100722430A | Medicaid | OK |
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