Healthcare Provider Details

I. General information

NPI: 1174559322
Provider Name (Legal Business Name): LESTER E COX MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 HIGHWAY 63 STE 1
HOUSTON MO
65483-2734
US

IV. Provider business mailing address

2240 W SUNSET ST STE 100
SPRINGFIELD MO
65807-6041
US

V. Phone/Fax

Practice location:
  • Phone: 417-967-5671
  • Fax: 417-269-0607
Mailing address:
  • Phone: 417-269-4663
  • Fax: 417-269-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB M MCWAY
Title or Position: SR. VICE-PRESIDENT & CFO
Credential:
Phone: 417-269-8811