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General NPI Number Information
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NPI Number | 1093740128
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Entity Type | Organization
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Legal Business Name | LESTER E COX MEDICAL CENTERS
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 3801 S NATIONAL AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5210
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Country | US
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Telephone | 417-269-6000
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Fax | 417-269-3104
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Provider Business Mailing Address
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Address Line | 1423 N JEFFERSON AVE
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City | SPRINGFIELD
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State | MO
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Zip | 65802-1917
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Country | US
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Telephone | 417-269-3000
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Fax | 417-269-3104
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Authorized Official
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Title or Position | EXEC. VICE-PRESIDENT & CFO
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Name | MR. JACOB M MCWAY
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Credential |
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Telephone | 417-269-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 500-0
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License Number State | MO
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