Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth Center Mt. Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID P TAYLOR (VICE PRESIDENT)
(417) 466-2875
Entity
Organization
Contact information
Practice address
10763 HIGHWAY 39, SUITE 200, MOUNT VERNON, MO 65712-7823
(417) 269-2460
(417) 269-2462
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5284
(417) 269-5712
(417) 269-4869
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
—
116760
BLUE CROSS OF MO
—
05
—
508603909
—
MO
05
—
598603900
—
MO
Enumeration date
10/03/2006
Last updated
01/06/2014
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