NPIMap

Organization Active NPI

Lester E Cox Medical Centers

Doing business as Cox Health Center Lebanon

  • Rural Health Clinic/Center
  • Lebanon, MO
National Provider Identifier
1770675035
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LESTER E COX MEDICAL CENTERS
Doing business as
Cox Health Center Lebanon
Practice address
510 E Hwy 32
Lebanon, MO 65536
Phone
(417) 532-8700
Fax
(417) 532-4315
NPI assigned
Sep 28, 2006
Last updated
Oct 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Authorized official

Name
Jacob McWay
Title
Sr VP & Cfo
Phone
(417) 269-8811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

510 E Hwy 32
Lebanon, MO 65536

Mailing address

3800 S National Ave
#540
Springfield, MO 65807-5209
Phone (417) 269-5712

Other identifiers 1

IdentifierTypeStateIssuer
596092908MedicaidMO

Other names 1

  • Cox Health Center Lebanon Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050624000293 MO Part B Supplier - Clinic/Group Practice 1254248917 Receives reassigned benefits from 526 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MO; Springfield, MO; Ozark, MO

Other NPIs on the same Medicare enrollment 31

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

View all 31

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507507200000",
    "number": "1770675035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S NATIONAL AVE",
            "address_2": "#540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075209",
            "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": "510 E HWY 32",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "65536",
            "telephone_number": "417-532-8700",
            "fax_number": "417-532-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESTER E COX MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-10-09",
        "status": "A",
        "authorized_official_last_name": "MCWAY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "SR VP & CFO",
        "authorized_official_telephone_number": "417-269-8811"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "596092908",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cox Health Center Lebanon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; 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.