Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
CoxHealth Center Mountain Grove
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MCWAY (SR VP & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
1602A N MAIN ST, MOUNTAIN GROVE, MO 65711-1010
(417) 269-2350
(417) 269-2356
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
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505957902
—
MO
05
—
595957903
—
MO
Enumeration date
06/22/2006
Last updated
06/17/2025
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