# REGIONAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CoxHealth Center Republic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225102445
- **Authorized official:** DAVID P TAYLOR (VICE PRESIDENT)
- **Authorized official phone:** (417) 269-6262

## Contact information

- **Practice address:** 820 S ILLINOIS AVE, REPUBLIC, MO 65738-1177
- **Practice address phone:** (417) 269-1910
- **Practice address fax:** (417) 269-1916
- **Mailing address:** PO BOX 4046, SPRINGFIELD, MO 65808-4046
- **Mailing address phone:** (417) 269-5712
- **Mailing address fax:** (417) 269-4869

## Taxonomy

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

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 05/05/2011