NPIMap

Organization Active NPI

Cox Monett Hospital Inc.

Doing business as Coxhealth Cassville Outreach Clinic

  • Family Medicine Physician
  • Cassville, MO
National Provider Identifier
1346748787
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COX MONETT HOSPITAL INC.
Doing business as
Coxhealth Cassville Outreach Clinic
Practice address
75 Smithson Dr Ste B
Cassville, MO 65625-9429
Phone
(417) 269-5712
Fax
(417) 269-7567
NPI assigned
Jan 31, 2018
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

75 Smithson Dr Ste B
Cassville, MO 65625-9429

Mailing address

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

Other names 1

  • COXHEALTH CASSVILLE OUTREACH CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000710 MO Part B Supplier - Clinic/Group Practice 0345236667 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cassville, MO; Monett, MO

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1346748787",
    "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": "75 SMITHSON DR STE B",
            "city": "CASSVILLE",
            "state": "MO",
            "postal_code": "656259429",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COX MONETT HOSPITAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COXHEALTH CASSVILLE OUTREACH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cassville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.