Organization
COX BARTON COUNTY HOSPITAL
Active
Other names
MEDICAL ONE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ROTH (VP OF OPERATIONS)
(417) 269-3014
Entity
Organization
Contact information
Practice address
29 NW 1ST LN, LAMAR, MO 64759-8105
(417) 681-5284
(417) 681-5514
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
268648
PTAN
MO
Enumeration date
12/19/2017
Last updated
12/19/2025
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