Basic Information
| Provider Information | |||||||||
| NPI: | 1215396635 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COX-MONETT HOSPITAL INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | COXHEALTH CENTER SHELL KNOB | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 802843 | ||||||||
| Address2: | |||||||||
| City: | KANSAS CITY | ||||||||
| State: | MO | ||||||||
| PostalCode: | 641802843 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4172695712 | ||||||||
| FaxNumber: | 4172697567 | ||||||||
| Practice Location | |||||||||
| Address1: | 25376 STATE HIGHWAY 39 | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | SHELL KNOB | ||||||||
| State: | MO | ||||||||
| PostalCode: | 657477343 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4172362680 | ||||||||
| FaxNumber: | 4172362683 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/12/2016 | ||||||||
| LastUpdateDate: | 06/30/2021 | ||||||||
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| AuthorizedOfficialLastName: | BASS | ||||||||
| AuthorizedOfficialFirstName: | DARREN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT COX MONETT | ||||||||
| AuthorizedOfficialTelephone: | 4173541407 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 06/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 261QR1300X | MO | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.