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NPI Code Detail

MEDICARE: LESTER E COX MEDICAL CENTERS

MEDICARE: LESTER E COX MEDICAL CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417122326
Entity Type Code : Organization
Provider Name (Legal Business Name) : LESTER E COX MEDICAL CENTERS
Provider Business Mailing Address
First Line : PO BOX 7411626
Second Line :
City : CHICAGO
State : IL
Zip : 60674-5626
Country : US
Telephone Number : 417-730-6430
Fax Number : 417-269-7567
Provider Business Practice Location Address
First Line : 816 E MAIN ST
Second Line :
City : WILLOW SPRINGS
State : MO
Zip : 65793-1518
Country : US
Telephone Number : 417-269-2490
Fax Number : 417-269-2492
Authorized Official
Title or Position : SR VP & CFO
Name : JACOB MCWAY
Credential :
Telephone Number : 417-269-8811
Provider Enumeration Date : 04/23/2008
Last Update Date : 06/17/2025

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Directions to “LESTER E COX MEDICAL CENTERS ” Practice Location

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