Covered Entity Details

SCH260094-14 COX MEDICAL CENTER BRANSON (Terminated) - information as of 5/25/2025 12:59:46 AM

Main Details

Name

COX MEDICAL CENTER BRANSON

Subdivision Name

STONE CO / OUTREACH THERAPY

Type

Sole Community Hospital

Rural

Yes

340B ID

SCH260094-14

Medicare Provider Number

260094

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

4/12/2016

Participating Start Date

7/1/2016

Participating Approval Date

5/12/2016

Last Recertification Date

8/22/2019

Termination Date
Termination Reason

4/1/2020
DSH percentage below statutory minimum

Contacts

Authorizing Official

Cox Medical Center Branson
DAVID Lee STRONG, CFO
(417) 335-7188

Primary Contact

CoxHealth
STACIE REED, 340B PROGRAM COORDINATOR
(417) 269-6231

Addresses

Street Address

2 KIMBERLING BOULEVARD
KIMBERLING CITY, MO 65686-9827

Billing Address

Cox Medical Center Branson
525 Branson Landing Blvd
Branson, MO 65616

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
MO	010932507
AR	107967105
		1760443980

Shipping Addresses

Shipping Address 1

Cox Medical Center Branson
525 Branson Landing Blvd
Branson, MO 65616

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
SCH260094-10	Child	SCH	COX MEDICAL CENTER BRANSON	KIMBERLING CITY RADIOLOGY	2 KIMBERLING BOULEVARD	KIMBERLING CITY	MO	Terminated
SCH260094-11	Child	SCH	COX MEDICAL CENTER BRANSON	COXHEALTH CARDIOLOGY	1150 STATE HIGHWAY 248 STE 200	BRANSON	MO	Terminated
SCH260094-12	Child	SCH	COX MEDICAL CENTER BRANSON	DIABETES AND ENDO	1150 STATE HWY 248 STE 102	BRANSON	MO	Terminated
SCH260094-13	Child	SCH	COX MEDICAL CENTER BRANSON	COXHEALTH PAIN AND NEUROLOGY	121 CAHILL ROAD STE 204	BRANSON	MO	Active
SCH260094-14	Child	SCH	COX MEDICAL CENTER BRANSON	STONE CO / OUTREACH THERAPY	2 KIMBERLING BOULEVARD	KIMBERLING CITY	MO	Terminated
SCH260094-15	Child	SCH	COX MEDICAL CENTER BRANSON	KIMERLING CITY / FAMILY MEDICINE	2 KIMBERLING BOULEVARD	KIMBERLING CITY	MO	Terminated
SCH260094-16	Child	SCH	COX MEDICAL CENTER BRANSON	ORTH-NEURO RADIOLOGY	121 CAHILL RD	BRANSON	MO	Terminated
SCH260094-17	Child	SCH	COX MEDICAL CENTER BRANSON	CoxHealth Branson Hills Clinic	1601 Branson Hills Parkway, Suite #100	BRANSON	MO	Active
SCH260094-18	Child	SCH	COX MEDICAL CENTER BRANSON	CMCB FAMILY MEDICINE BRANSON WEST	18452 BUSINESS HWY 13	BRANSON WEST	MO	Active
SCH260094-19	Child	SCH	COX MEDICAL CENTER BRANSON	HYPERBARIC WOUND CARE	101 SKAGGS RD STE 103	BRANSON	MO	Active
SCH260094-20	Child	SCH	COX MEDICAL CENTER BRANSON	CARDIAC REHAB	1150 STATE HWY 248 STE 100	BRANSON	MO	Active
SCH260094-21	Child	SCH	COX MEDICAL CENTER BRANSON	BRANSON THERAPY SERVICES	18452 BUSINESS HWY 13	BRANSON WEST	MO	Terminated
SCH260094-22	Child	SCH	COX MEDICAL CENTER BRANSON	ELECTROCARDIOLOGY	1150 STATE HWY 248	BRANSON	MO	Terminated
SCH260094-23	Child	SCH	COX MEDICAL CENTER BRANSON	TANEY CO OUTREACH THERAPY	121 CAHILL RD STE 101	BRANSON	MO	Terminated
SCH260094-24	Child	SCH	COX MEDICAL CENTER BRANSON	OCCUPATIONAL THERAPY	121 CAHILL RD STE 101	BRANSON	MO	Terminated
SCH260094-25	Child	SCH	COX MEDICAL CENTER BRANSON	SPEECH THERAPY	121 CAHILL RD STE 101	BRANSON	MO	Terminated
SCH260094-26	Child	SCH	COX MEDICAL CENTER BRANSON	CARDIAC DIAGNOSTICS	1150 STATE HWY 248	BRANSON	MO	Active
SCH260094-27	Child	SCH	COX MEDICAL CENTER BRANSON	BRANSON WEST RADIOLOGY	18452 BUSINESS HWY 13	BRANSON WEST	MO	Active
SCH260094-28	Child	SCH	COX MEDICAL CENTER BRANSON	MRI	121 CAHILL RD STE 202	BRANSON	MO	Terminated
SCH260094-29	Child	SCH	COX MEDICAL CENTER BRANSON	Ambulatory Infusion Center	525 Branson Landing Blvd	Branson	MO	Terminated
SCH260094-30	Child	SCH	COX MEDICAL CENTER BRANSON	Radiation Oncology	525 Branson Landing Blvd	Branson	MO	Terminated
SCH260094-31	Child	SCH	COX MEDICAL CENTER BRANSON	Oncology	525 Branson Landing Blvd	Branson	MO	Terminated
SCH260094-32	Child	SCH	COX MEDICAL CENTER BRANSON	Womens Imaging Center	525 Branson Landing Blvd Ste 404	Branson	MO	Terminated
SCH260094-33	Child	SCH	COX MEDICAL CENTER BRANSON	CMCB Family Medicine & OB	525 Branson Landing Blvd Ste 508	Branson	MO	Active
SCH260094-34	Child	SCH	COX MEDICAL CENTER BRANSON	COX HEART CENTER BRANSON - CARDIOLOGY	1150 STATE HWY 248 STE 200	BRANSON	MO	Active
SCH260094-35	Child	SCH	COX MEDICAL CENTER BRANSON	OUTPATIENT-RHC 4 - COXHEALTH WOMEN'S CENTER	525 Branson Landing Boulevard Suite 408	Branson	MO	Approved
SCH260094-36	Child	SCH	COX MEDICAL CENTER BRANSON	OUTPATIENT RHC-3 - CMCB FAMILY MED FORSYTH	13852 US-160	Forsyth	MO	Approved

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	4/1/2020 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		2/28/2020 12:00:00 AM	3/2/2020 1:18 PM
Details	State	Update	Termination Request	Active	To Be Terminated	3/2/2020 1:18 PM
Terminations	Termination Date	Update	Termination Request		4/1/2020 12:00:00 AM	3/2/2020 1:18 PM
Terminations	Termination Effective Date	Update	Termination Request		2/28/2020 12:00:00 AM	3/2/2020 1:18 PM
Terminations	Termination Reason	Update	Termination Request		DSH percentage below statutory minimum	3/2/2020 1:18 PM
Details	Last Recertification Date	Update	Recertification	8/16/2018 11:27:01 AM	8/22/2019 5:51:40 PM	8/22/2019 5:51 PM
Details	Last Recertification Date	Update	Recertification	11/16/2017 1:17:21 PM	8/16/2018 11:27:01 AM	8/16/2018 11:27 AM
Addresses	Billing Address	Insert	Recertification		Cox Medical Center Branson 525 Branson Landing Blvd Branson, MO 65616	11/16/2017 1:17 PM
Addresses	Shipping Address	Insert	Recertification		Cox Medical Center Branson 525 Branson Landing Blvd Branson, MO 65616	11/16/2017 1:17 PM
Details	Last Recertification Date	Update	Recertification	8/15/2016 12:00:00 AM	11/16/2017 1:17:21 PM	11/16/2017 1:17 PM
Contacts	Authorizing Official	Update		STRONG, DAVID CFO 4173357188	STRONG, DAVID Lee CFO Cox Medical Center Branson 4173357188	10/11/2017 12:04 PM
Contacts	Signed By	Update		STRONG, DAVID CFO 4173357188	STRONG, DAVID Lee CFO Cox Medical Center Branson 4173357188	10/11/2017 12:04 PM
Contacts	Primary Contact	Update		REED, STACIE 340B PROGRAM COORDINATOR 4172696231	REED, STACIE 340B PROGRAM COORDINATOR CoxHealth 4172696231	9/19/2017 2:13 PM
Contacts	Primary Contact	Insert			REED, STACIE 340B PROGRAM COORDINATOR 4172696231	8/14/2017 1:22 PM
Contacts	Authorizing Official	Insert			STRONG, DAVID CFO 4173357188	8/14/2017 1:22 PM
Contacts	Signed By	Insert			STRONG, DAVID CFO 4173357188	8/14/2017 1:22 PM
Addresses	Shipping Address	Delete		COXHEALTH PHARMACY MORH 3535 S NATIONAL AVE SPRINGFIELD, MO 65807		5/1/2017 1:47 PM
Addresses	Main Address	Insert			2 KIMBERLING BOULEVARD KIMBERLING CITY, MO 65686-9827	5/1/2017 1:47 PM
Addresses	Shipping Address	Insert			COXHEALTH PHARMACY MORH 3535 S NATIONAL AVE SPRINGFIELD, MO 65807	5/1/2017 1:47 PM
Medicaid Billing	Medicaid: Number	Update		10932507	010932507	9/12/2016 3:00 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	8/19/2016 2:58 PM
Medicaid Billing	Medicaid: Number	Insert			107967105	8/19/2016 2:58 PM
Medicaid Billing	Medicaid: State	Insert			AR	8/19/2016 2:58 PM
Medicaid Billing	NPI: Number	Insert			1760443980	8/19/2016 2:58 PM
Details	Last Recertification Date	Update			8/15/2016 12:00:00 AM	8/19/2016 2:58 PM
Dates	Participating Approval Date	Update			5/12/2016 12:00:00 AM	5/12/2016 1:32 PM
Details	State	Update		Pending	Active	5/12/2016 1:32 PM
Dates	Start Date	Update			7/1/2016 12:00:00 AM	5/12/2016 1:32 PM
Details	Entity Subname	Update		STONE CO OUTREACH THERAPY / STONE CO OUTREACH THERAPY	STONE CO / OUTREACH THERAPY	5/12/2016 9:41 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_59859	SCH260094-14	4/27/2016 11:38 AM
Details	Entity Subname	Update		SKAGGS COMMUNITY HOSP ASSOCIATION / STONE CO OUTREACH THERAPY	STONE CO OUTREACH THERAPY / STONE CO OUTREACH THERAPY	4/27/2016 11:38 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_59859	4/12/2016 3:59 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	4/12/2016 3:59 PM
Medicaid Billing	Medicaid: Number	Insert			10932507	4/12/2016 3:59 PM
Medicaid Billing	Medicaid: State	Insert			MO	4/12/2016 3:59 PM
Details	Last Recertification Date	Insert				4/12/2016 3:59 PM
Details	Grant Number	Insert				4/12/2016 3:59 PM
Details	340B ID	Insert				4/12/2016 3:59 PM
Details	Is Authorizing Official EHB Data	Insert				4/12/2016 3:59 PM
Dates	Last Date That 340B Drugs Purchased	Insert				4/12/2016 3:59 PM
Details	Medicare Provider Number	Insert			260094	4/12/2016 3:59 PM
Details	Entity Name	Insert			COX MEDICAL CENTER BRANSON	4/12/2016 3:59 PM
Details	Program Code	Insert			SCH	4/12/2016 3:59 PM
Details	Entity Subname	Insert			SKAGGS COMMUNITY HOSP ASSOCIATION / STONE CO OUTREACH THERAPY	4/12/2016 3:59 PM
Dates	Participating Approval Date	Insert				4/12/2016 3:59 PM
Details	State	Insert			Pending	4/12/2016 3:59 PM
Dates	Registration Date	Insert			4/12/2016 12:00:00 AM	4/12/2016 3:59 PM
Dates	Signed By Date	Insert			4/12/2016 12:00:00 AM	4/12/2016 3:59 PM
Dates	Start Date	Insert				4/12/2016 3:59 PM
Terminations	Termination Comments	Insert				4/12/2016 3:59 PM
Terminations	Termination Date	Insert				4/12/2016 3:59 PM
Terminations	Termination Effective Date	Insert				4/12/2016 3:59 PM
Terminations	Termination Reason	Insert				4/12/2016 3:59 PM