Healthcare Provider Details
I. General information
NPI: 1174166177
Provider Name (Legal Business Name): COX BARTON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/22/2019
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 NW 1ST LN
LAMAR MO
64759-8105
US
IV. Provider business mailing address
PO BOX 7411626
CHICAGO IL
60674-5626
US
V. Phone/Fax
- Phone: 417-681-5100
- Fax: 417-681-5748
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
ANDREA
MCKAY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 417-354-1407