# LESTER E COX MEDICAL CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regional Services, GLYCEMIC MANAGEMENT SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154813244
- **Authorized official:** BROCK SHAMEL (VICE PRESIDENT)
- **Authorized official phone:** (417) 269-4368

## Contact information

- **Practice address:** 3801 S NATIONAL AVE, 9TH FLOOR, SPRINGFIELD, MO 65807-5210
- **Practice address phone:** (417) 269-5158
- **Practice address fax:** (417) 269-4470
- **Mailing address:** PO BOX 7411626, CHICAGO, IL 60674-5626
- **Mailing address phone:** (417) 730-6430
- **Mailing address fax:** (417) 269-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 06/17/2025
