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DSH260040V LESTER E COX MEDICAL CENTERS (Terminated)
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Main Details
Name
LESTER E COX MEDICAL CENTERS
Subdivision Name
COX HEALTH CENTER FOR ADVANCED PAIN MANAGEMENT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260040V
Medicare Provider Number
260040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
6/11/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/11/2008
Last Recertification Date
11/6/2017
Termination Date
Termination Reason
7/1/2018
Site closure
Contacts
Authorizing Official
CoxHealth
Jake McWay, SVP - CFO
(417) 269-8811
Primary Contact
CoxHealth
STACIE REED, 340B PROGRAM COORDINATOR
(417) 269-6231
Addresses
Street Address
3801 S. National Ave
Springfield, MO 65807
Billing Address
CoxHealth
3801 South National Ave
Springfield, MO 65807
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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