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
2240 W SUNSET ST, SUITE 100, SPRINGFIELD, MO 65807-5980
(417) 269-4663
(417) 269-0607
Mailing address
2240 W SUNSET ST STE 100, SPRINGFIELD, MO 65807-6041
(417) 269-4663
(417) 269-0692
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620419606
—
MO
Enumeration date
07/07/2006
Last updated
05/03/2024
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