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Organization
LESTER E. COX MEDICAL CENTERS
Active
Organization
LESTER E. COX MEDICAL CENTERS
Active
Other names
CoxHealth Republic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MCWAY (SR VP & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
820 S ILLINOIS AVE, REPUBLIC, MO 65738-1177
(417) 269-1910
(417) 269-1916
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/17/2012
Last updated
09/01/2021
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