Healthcare Provider Details

I. General information

NPI: 1174693444
Provider Name (Legal Business Name): LESTER E. COX MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 S NATIONAL AVE #101
SPRINGFIELD MO
65807-7310
US

IV. Provider business mailing address

3800 S NATIONAL AVE #540
SPRINGFIELD MO
65807-5209
US

V. Phone/Fax

Practice location:
  • Phone: 417-269-9950
  • Fax: 417-269-9959
Mailing address:
  • Phone: 417-269-6262
  • Fax: 417-269-4349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID P. TAYLOR
Title or Position: VICE PRESIDENT
Credential:
Phone: 417-269-6262