Provider Demographics
NPI:1790419885
Name:ROCK REGIONAL HOSPITAL, LLC
Entity Type:Organization
Organization Name:ROCK REGIONAL HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:JEANNETTE
Authorized Official - Last Name:COPPING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-425-2416
Mailing Address - Street 1:3251 N ROCK RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-3850
Mailing Address - Country:US
Mailing Address - Phone:307-257-0306
Mailing Address - Fax:316-425-2401
Practice Address - Street 1:606 N MULBERRY RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-3532
Practice Address - Country:US
Practice Address - Phone:307-257-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCK REGIONAL HOSPITAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty