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SCH260094-12 COX MEDICAL CENTER BRANSON (Terminated)
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Main Details
Name
COX MEDICAL CENTER BRANSON
Subdivision Name
DIABETES AND ENDO
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260094-12
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
5/3/2016
Last Recertification Date
8/19/2016
Termination Date
Termination Reason
10/1/2016
Site closure
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
1150 STATE HWY 248 STE 102
BRANSON, MO 65616-3758
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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