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DSH260040BV LESTER E COX MEDICAL CENTERS (Terminated)
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Main Details
Name
LESTER E COX MEDICAL CENTERS
Subdivision Name
Senior Health Center South
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260040BV
Medicare Provider Number
260040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/16/2014
Last Recertification Date
8/25/2022
Termination Date
Termination Reason
7/1/2023
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
3525 S National #207
Springfield, MO 65807
Billing Address
CoxHealth
PO Box 9550
Springfield, MO 65801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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