Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M MCWAY (SR. VICE-PRESIDENT & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
6785 HIGHWAY 63 STE 1, HOUSTON, MO 65483-2734
(417) 967-5671
(417) 269-0607
Mailing address
2240 W SUNSET ST STE 100, SPRINGFIELD, MO 65807-6041
(417) 269-4663
(417) 269-0607
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620671115
—
MO
Enumeration date
06/22/2006
Last updated
01/23/2023
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