Organization Active NPI

Lester E. Cox Medical Centers

Doing business as CoxHealth Republic Clinic

  • Rural Health Clinic/Center
  • Republic, MO
National Provider Identifier
1972849115
Registry record updated Sep 1, 2021
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
CoxHealth Republic Clinic
Practice address
820 S Illinois Ave
Republic, MO 65738-1177
Phone
(417) 269-1910
Fax
(417) 269-1916
NPI assigned
Dec 17, 2012
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

820 S Illinois Ave
Republic, MO 65738-1177

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other practice location 1

3203 E Old Stone Avenue
Brookline, MO 65619
Phone (417) 269-1910

Other names 1

  • CoxHealth Republic Clinic Doing business as

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": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1972849115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S ILLINOIS AVE",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381177",
            "telephone_number": "417-269-1910",
            "fax_number": "417-269-1916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3203 E Old Stone Avenue",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MO",
            "postal_code": "65619",
            "country_code": "US",
            "telephone_number": "417-269-1910",
            "fax_number": "417-269-1916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LESTER E. COX MEDICAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-16",
        "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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth Republic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CoxHealth Republic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Republic, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.