Lester E Cox Medical Centers
Organization Active NPI Rural Health Clinic/Center · Crane, MO
NPI 1841225232 · NPPES record last updated Feb 11, 2013
Key facts
- NPI
- 1841225232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- LESTER E COX MEDICAL CENTERS
- Practice address
- 102 Cortney LN
Crane, MO 65633-9192 - Phone
- (417) 269-2264
- Fax
- (417) 269-2270
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David P. Taylor
- Title
- VP of Regional Services
- Phone
- (417) 269-4343
Other NPIs on the same Medicare enrollment 31
Member of 1
Practitioners 2
-
Emily H Mebruer, MD
-
Damon J Thomas, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Locations
3850 S National Ave
Ste 520
Springfield, MO 65807
Phone (417) 269-7878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
102 Cortney LN
Crane, MO 65633-9192
Mailing address
3800 S National Ave
Ste. 540
Springfield, MO 65807-5209
Phone (417) 269-5712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169430 | Other | BLUE CROSS | |
| 595885203 | Medicaid | MO | |
| 505450304 | Medicaid | MO |
Other names
- CoxHealth Center Crane
Other providers in Crane, MO
- Jessica Lynn Hudson
- Jessica Ann Johnson
- Paula Lee Leonard
- Lester E Cox Medical Centers
- Lester E Cox Medical Centers
- Meadowlark Gardens LLC
- Carolyn J Mease
- Mike Stuart Enterprises Inc
- Mike Stuart Enterprises, Inc.
- N & R of Crane LLC
All providers in Crane, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.