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General NPI Number Information
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NPI Number | 1770675035
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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 | 09/28/2006
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 510 E HWY 32
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City | LEBANON
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State | MO
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Zip | 65536
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Country | US
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Telephone | 417-532-8700
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Fax | 417-532-4315
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Provider Business Mailing Address
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Address Line | 3800 S NATIONAL AVE #540
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City | SPRINGFIELD
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State | MO
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Zip | 65807-5209
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Country | US
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Telephone | 417-269-5712
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Fax | 417-269-7567
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Authorized Official
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Title or Position | SR VP & CFO
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Name | JACOB 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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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