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DSH260040BS LESTER E COX MEDICAL CENTERS (Terminated)
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Main Details
Name
LESTER E COX MEDICAL CENTERS
Subdivision Name
Republic RHC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260040BS
Medicare Provider Number
260040
Outpatient Facility Provider Number
268684
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/11/2014
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
1/1/2022
Hospital Outpatient facility no longer eligible
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
820 Illinois
Republic, MO 65738
Billing Address
CoxHealth
PO Box 9550
Springfield, MO 65801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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