Organization
LESTER E COX MEDICAL CENTERS
Active
Other names
Cox Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB M MCWAY (EXEC. VICE-PRESIDENT & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-6000
(417) 269-3104
Mailing address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3000
(417) 269-3104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
133V00000X
Registered Dietitian
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124287
BLUE CROSS
—
05
—
540419603
—
MO
Enumeration date
03/27/2007
Last updated
09/27/2024
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