COFFEYVILLE EMERGENCY PHYSICIANS, LLC – NPI #1154405744
Emergency Medicine

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.

COFFEYVILLE EMERGENCY PHYSICIANS, LLC is a provider located in COFFEYVILLE, KS. NPPES has assigned the NPI number 1154405744 to COFFEYVILLE EMERGENCY PHYSICIANS, LLC on October 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COFFEYVILLE EMERGENCY PHYSICIANS, LLC below.

NPI Profile for
COFFEYVILLE EMERGENCY PHYSICIANS, LLC

NPI Number
1154405744
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COFFEYVILLE EMERGENCY PHYSICIANS, LLC
Primary location
1400 W 4TH ST
COFFEYVILLE, KS 67337-3306
Phone: (620) 252-1649 Fax: (620) 252-1699
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY MARGUETTE
CEO
Phone: (620) 252-1537
Updated
Identifiers

Identifiers for COFFEYVILLE EMERGENCY PHYSICIANS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERKS BCBS GRP PROVIDER #KS110385
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.