Organization
LESTER E. COX MEDICAL CENTERS
Active
Other names
CoxHealth Republic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MCWAY (SR VP & CFO)
(417) 269-8811
Entity
Organization
Contact information
Practice address
820 S ILLINOIS AVE, REPUBLIC, MO 65738-1177
(417) 269-1910
(417) 269-1916
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2012
Last updated
09/01/2021
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