Active NPI
Lester E Cox Medical Centers
- Rural Health Clinic/Center
- Mount Vernon, MO
National Provider Identifier
1780778449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- LESTER E COX MEDICAL CENTERS
- Practice address
- 10763 Highway 39
Suite 200
Mount Vernon, MO 65712-7823 - Phone
- (417) 269-2460
- Fax
- (417) 269-2462
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David P Taylor
- Title
- Vice President
- Phone
- (417) 466-2875
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
10763 Highway 39
Suite 200
Mount Vernon, MO 65712-7823
Mailing address
3800 S National Ave
#540
Springfield, MO 65807-5284
Phone (417) 269-5712
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116760 | Other | BLUE CROSS OF MO | |
| 508603909 | Medicaid | MO | |
| 598603900 | Medicaid | MO |
Other names 1
- CoxHealth Center Mt. Vernon
National Provider Directory
National Provider DirectoryMember 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": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388966400000",
"number": "1780778449",
"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": "658075284",
"telephone_number": "417-269-5712",
"fax_number": "417-269-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10763 HIGHWAY 39",
"address_2": "SUITE 200",
"city": "MOUNT VERNON",
"state": "MO",
"postal_code": "657127823",
"telephone_number": "417-269-2460",
"fax_number": "417-269-2462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESTER E COX MEDICAL CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2014-01-06",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "417-466-2875",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MO",
"identifier": "116760",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508603909",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "598603900",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CoxHealth Center Mt. Vernon",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.