Healthcare Provider Details

I. General information

NPI: 1497681365
Provider Name (Legal Business Name): LESTER E COX MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3203 E OLD STONE AVE STE 101
BROOKLINE MO
65619-9620
US

IV. Provider business mailing address

PO BOX 7411626
CHICAGO IL
60674-5626
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-1960
  • Fax: 417-225-9993
Mailing address:
  • Phone: 417-269-3000
  • Fax: 417-269-3104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB M MCWAY
Title or Position: EXEC. VP & CFO
Credential:
Phone: 417-269-8811