COFFEY COUNTY MEDICAL CENTER NPI 1922003995

NPI Information

  • NPI: 1922003995
  • Provider Name: COFFEY COUNTY MEDICAL CENTER
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: GRIDLEY MEDICAL CLINIC
  • CLIA Number: 17D1019091
  • Address: 321 ATHERLY
    GRIDLEY, KS
    ZIP 66852
  • Phone: (620) 836-2915

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NPI Details

COFFEY COUNTY MEDICAL CENTER is a family medicine in Gridley, KS. The provider is 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. COFFEY COUNTY MEDICAL CENTER NPI is 1922003995. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Gridley Medical Clinic.

The provider's business location address is:

321 ATHERLY
GRIDLEY, KS
ZIP 66852
Phone: (620) 836-2915
Fax: (620) 836-2917

The provider's authorized official is Deanna Wolken .
The authorized official title is Clinic Administrator and has the following contact phone number (620) 364-5395.

The CLIA number assigned to this NPI record is 17D1019091 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineKANSASYes

What is NPI?

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This page was last updated on: 11/21/2025

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