The stream headwaters arise in eastern Kansas just over one mile west of the Kansas-Missouri border at 38°32′42″N 94°37′57″W / 38.54500°N 94.63250°W / 38.54500; -94.63250 and it flows east into Missouri and crosses under Missouri Route D just south of Lisle.
[2] Its confluence with the South Fork is at 38°34′15″N 94°33′23″W / 38.57083°N 94.55639°W / 38.57083; -94.55639 at an elevation of 860 feet.
[1] Coldwater Creek was so named due to the cold water it carries.
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