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SCH260094-24 COX MEDICAL CENTER BRANSON (Terminated)
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Main Details
Name
COX MEDICAL CENTER BRANSON
Subdivision Name
OCCUPATIONAL THERAPY
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260094-24
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
8/22/2019
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
121 CAHILL RD STE 101
BRANSON, MO 65616
Billing Address
Cox Medical Center Branson
525 Branson Landing Blvd
Branson, MO 65616
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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