340B Drug Pricing Program Database
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DSH260040CA LESTER E COX MEDICAL CENTERS (Terminated)
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Main Details
Name
LESTER E COX MEDICAL CENTERS
Subdivision Name
COXHEALTH PAIN MANAGEMENT CENTER - CoxHealth Pain Management Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH260040CA
Medicare Provider Number
260040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/6/2018
Last Recertification Date
8/18/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
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
1001 E PRIMROSE SUITE 2 WEST
SPRINGFIELD, MO 65807-5155
Billing Address
CoxHealth
PO Box 9550
Springfield, MO 65801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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