NPIMap

Organization Active NPI

Regional Services

Doing business as Coxhealth School Based Telemedicine

  • Family Nurse Practitioner
  • Sparta, MO
National Provider Identifier
1043790504
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REGIONAL SERVICES
Doing business as
Coxhealth School Based Telemedicine
Practice address
8520 Mo-14
Sparta, MO 65753
Phone
(417) 634-3224
NPI assigned
Aug 15, 2018
Last updated
Jan 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Max Buetow
Title
Vice President
Phone
(417) 631-0381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8520 Mo-14
Sparta, MO 65753

Mailing address

PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712

Other practice location 1

522 Mo-125
Sparta, MO 65753
Phone (417) 634-3223

Other practice location 2

217 Division St
Sparta, MO 65753-8961
Phone (417) 634-5518

Other names 1

  • COXHEALTH SCHOOL BASED TELEMEDICINE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coxhealth School Based Telemedicine73 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

217 Division St
Sparta, MO 65753
Phone (417) 634-4284

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1043790504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 MO-14",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "65753",
            "telephone_number": "417-634-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 MO-125",
            "address_purpose": "LOCATION",
            "city": "SPARTA",
            "state": "MO",
            "postal_code": "65753",
            "country_code": "US",
            "telephone_number": "417-634-3223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Division St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "MO",
            "postal_code": "657538961",
            "country_code": "US",
            "telephone_number": "417-634-5518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BUETOW",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "417-631-0381"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COXHEALTH SCHOOL BASED TELEMEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.