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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
1208000000XPediatrics Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1201478OTHERBLUE CROSS OF MO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538259296
Entity Type Code : Organization
Provider Name (Legal Business Name) : LESTER E. COX MEDICAL CENTERS
Provider Business Mailing Address
First Line : 3800 S NATIONAL AVE
Second Line : #540
City : SPRINGFIELD
State : MO
Zip : 65807-5209
Country : US
Telephone Number : 417-269-6262
Fax Number : 417-269-4349
Provider Business Practice Location Address
First Line : 3443 S NATIONAL AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-7308
Country : US
Telephone Number : 417-269-4850
Fax Number : 417-269-4852
Authorized Official
Title or Position : VICE PRESIDENT
Name : DAVID P TAYLOR
Credential :
Telephone Number : 417-269-6262
Provider Enumeration Date : 10/13/2006
Last Update Date : 06/20/2008

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Directions to “LESTER E. COX MEDICAL CENTERS ” Practice Location

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