Healthcare Provider Details
I. General information
NPI: 1609520071
Provider Name (Legal Business Name): COX-MONETT HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/04/2022
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 E HIGHWAY 60
MONETT MO
65708-8258
US
IV. Provider business mailing address
1000 E HIGHWAY 60
MONETT MO
65708-8258
US
V. Phone/Fax
- Phone: 417-235-3144
- Fax: 417-354-1412
- Phone: 417-235-3144
- Fax: 417-354-1412
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
ANDREA
MCKAY
Title or Position: PRESIDENT / CEO
Credential:
Phone: 417-354-1407