Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth at Home
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MCWAY (SR VICE-PRESIDENT & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
3525 S NATIONAL AVE STE 205B, SPRINGFIELD, MO 65807-7315
(417) 269-9210
(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
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023460013
MEDICARE NSC
MO
05
—
620031596
—
MO
Enumeration date
10/02/2012
Last updated
03/09/2023
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