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SCH260094-30 COX MEDICAL CENTER BRANSON (Terminated)
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Main Details
Name
COX MEDICAL CENTER BRANSON
Subdivision Name
Radiation Oncology
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260094-30
Medicare Provider Number
260094
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/1/2017
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
525 Branson Landing Blvd
Branson, MO 65616
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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