Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Cox Senior Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MCWAY (SR VP & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
1423 N JEFFERSON AVE, #K-100, SPRINGFIELD, MO 65802-1917
(417) 269-3915
(417) 269-3913
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
508533403
—
MO
Enumeration date
11/08/2006
Last updated
05/17/2021
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