NPIMap

Lester E Cox Medical Centers

Organization Active NPI Family Medicine Physician · Willard, MO

NPI 1073687299 · NPPES record last updated Jun 17, 2025

Key facts

NPI
1073687299
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
LESTER E COX MEDICAL CENTERS
Practice address
304 E Jackson St
#5H
Willard, MO 65781-9333
Phone
(417) 269-2458
Fax
(417) 269-2465
NPI assigned
Nov 20, 2006
Organization subpart
No

Authorized official

Name
Brock Shamel
Title
Vice President
Phone
(417) 269-4368

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 240

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 240

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070213000133 MO Part B Supplier - Clinic/Group Practice 5799787784 Receives reassigned benefits from 4 practitioners
Practice locations: Willard, MO

National Provider Directory

Tax ID family
Coxhealth School Based Telemedicine (73 organizations share this tax ID)

Locations

304 E Jackson St
Willard, MO 65781
Phone (417) 742-2555

304 E Jackson St
#207
Willard, MO 65781

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

304 E Jackson St
#5H
Willard, MO 65781-9333

Mailing address

PO Box 7411626
Chicago, IL 60674-5626
Phone (417) 730-6430

Other identifiers

IdentifierTypeStateIssuer
506215300MedicaidMO

Other names

  • CoxHealth Center Willard Doing business as
  • Regional Services Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Willard, MO

All providers in Willard, MO · Family Medicine Physician in Missouri

Sources for this page

Verify at the official NPI Registry.