Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth Center Ava, Regional Services
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
806 SW COLLINS AVENUE, AVA, MO 65608
(417) 683-7200
(417) 683-0165
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
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505978502
—
MO
Enumeration date
11/09/2006
Last updated
05/17/2021
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