Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Regional Services, CoxHealth Advantage Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BROCK SHAMEL (VICE PRESIDENT)
(417) 269-4368
Entity
Organization
Contact information
Practice address
1819 S NATIONAL AVE, SPRINGFIELD, MO 65804-2217
(417) 269-9220
(417) 269-9229
Mailing address
PO BOX 7411626, CHICAGO, IL 60674-5626
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
06/18/2025
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