GRIDLEY MEDICAL CLINIC – NPI #1922003995
Family Medicine

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.

GRIDLEY MEDICAL CLINIC is a provider located in GRIDLEY, KS. NPPES has assigned the NPI number 1922003995 to GRIDLEY MEDICAL CLINIC on June 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRIDLEY MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is COFFEY COUNTY MEDICAL CENTER. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. 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 GRIDLEY MEDICAL CLINIC below.

NPI Profile for
COFFEY COUNTY MEDICAL CENTER

NPI Number
1922003995
Enumeration Date

(about 21 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
COFFEY COUNTY MEDICAL CENTER
Doing Business As (dba): GRIDLEY MEDICAL CLINIC
Primary location
321 ATHERLY
GRIDLEY, KS 66852
Phone: (620) 836-2915 Fax: (620) 836-2917
Mailing address
PO BOX 289
BURLINGTON, KS 66839-0289
Phone: (620) 364-5395 Fax: (620) 364-8719
Organization Subpart
No
Authorized Official
DEANNA WOLKEN
CLINIC ADMINISTRATOR
Phone: (620) 364-5395
Updated
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
207Q00000X
- Family Medicine (Primary)
KS

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.