Disproportionate share hospital · KS
COFFEYVILLE REG MEDICAL CENTER INC.
- 1Registered locations
- 1Associated locations
- 29Contract pharmacies
- 0With no end date
- 25 May 2022In 340B since
Finances, as filed
No Medicare cost report is recorded for this hospital.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “COFFEYVILLE REG MEDICAL CENTER INC.” (340B ID DSH170145), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/DSH170145 (as at 2026-09-07)
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 25 May 2022
- Termination date
- 13 May 2024
- Termination reason
- Other
- Certification date
- 31 August 2023
- Record last edited
- 13 May 2024
Identifiers
- 340B ID
- DSH170145
- Entity type as filed
- DSH
- CMS certification number
- 170145
- NPI
- 1285600379 (KS,OK)
- Rural
- Yes
1400 WEST 4TH STREET, COFFEYVILLE KS 67337
Locations registered under this record
Browse all of them as a list →
| 340B ID | Name | Type | Where | Participating |
|---|---|---|---|---|
| DSH170145A | COFFEYVILLE REGIONAL MED CENTER INC - COFFEYVILLE REGIONAL MEDICAL CENTER - RHC - INDY | DSH | INDEPENDENCE, KS | FALSE |
Associated locations
| Organization | Address | Where |
|---|---|---|
| COFFEYVILLE REG MEDICAL CENTER INC. | 1400 WEST 4TH STREET | COFFEYVILLE KS 67337 |
Pharmacy contracts
No end date filed0
No arrangement with no end date filed matches that.
An end date is filed29
An end date that has not yet arrived is a termination already filed, not one that has happened. Both are printed here as the file carries them.
| ACCREDO HEALTH GROUP INC | TEMPE, AZ | 1 June 2022 | 13 May 2024 |
| ACCREDO HEALTH GROUP INC | WARRENDALE, PA | 1 June 2022 | 13 May 2024 |
| ACCREDO HEALTH GROUP INC | MEMPHIS, TN | 1 June 2022 | 13 May 2024 |
| ACCREDO HEALTH GROUP, INC. | NEWARK, DE | 1 June 2022 | 13 May 2024 |
| ACCREDO HEALTH GROUP, INC. | ORLANDO, FL | 1 June 2022 | 13 May 2024 |
| ACCREDO HEALTH GROUP, INC. | INDIANAPOLIS, IN | 1 June 2022 | 13 May 2024 |
| CANEY DRUG | CANEY, KS | 1 June 2022 | 13 May 2024 |
| DIPLOMAT SPECIALTY PHARMACY | FLINT, MI | 1 June 2022 | 13 May 2024 |
| ESI MAIL PHARMACY SERVICE | TEMPE, AZ | 1 June 2022 | 13 May 2024 |
| EXPRESS SCRIPTS | SAINT LOUIS, MO | 1 June 2022 | 13 May 2024 |
| EXPRESS SCRIPTS PHARMACY, INC. | BURLINGTON, NJ | 1 June 2022 | 13 May 2024 |
| EXPRESS SCRIPTS PHARMACY, INC. | WHITESTOWN, IN | 1 June 2022 | 13 May 2024 |
| MEDICINE SHOPPE #1153 | COFFEYVILLE, KS | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 700, LLC | OVIEDO, FL | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 701, LLC | FLINT, MI | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 702, LLC | JEFFERSONVILLE, IN | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 704, INC. | SAN ANTONIO, TX | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 705, LLC | FRANKLIN, TN | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 705, LLC | BIRMINGHAM, AL | 1 June 2022 | 13 May 2024 |
| OPTUM PHARMACY 801, INC. | PHOENIX, AZ | 1 June 2022 | 13 May 2024 |
| OPTUMRX | OVERLAND PARK, KS | 1 June 2022 | 13 May 2024 |
| PRESCRIPTION SHOP INC | COFFEYVILLE, KS | 1 April 2017 | 1 October 2018 |
| The Prescription Shop | Coffeyville, KS | 1 June 2022 | 13 May 2024 |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 June 2022 | 13 May 2024 |
| WAL-MART PHARMACY 10-0042 | COFFEYVILLE, KS | 1 June 2022 | 13 May 2024 |
| WAL-MART PHARMACY 10-0042 | COFFEYVILLE, KS | 1 April 2017 | 1 October 2018 |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | 1 June 2022 | 13 May 2024 |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 June 2022 | 13 May 2024 |
| WALMART PHARMACY 10-5169 | ROGERS, AR | 1 July 2023 | 13 May 2024 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.