Basic Information
| Provider Information | |||||||||
| NPI: | 1568097897 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | COX BARTON COUNTY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29 NW 1ST LN | ||||||||
| Address2: | |||||||||
| City: | LAMAR | ||||||||
| State: | MO | ||||||||
| PostalCode: | 647598105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4176815100 | ||||||||
| FaxNumber: | 4176815510 | ||||||||
| Practice Location | |||||||||
| Address1: | 29 NW 1ST LN | ||||||||
| Address2: | |||||||||
| City: | LAMAR | ||||||||
| State: | MO | ||||||||
| PostalCode: | 647598105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4176815100 | ||||||||
| FaxNumber: | 4176815510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2020 | ||||||||
| LastUpdateDate: | 03/06/2020 | ||||||||
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| AuthorizedOfficialLastName: | WYATT | ||||||||
| AuthorizedOfficialFirstName: | CHRISTOPHER | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT & CEO | ||||||||
| AuthorizedOfficialTelephone: | 4176815108 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 03/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | N | Hospitals | General Acute Care Hospital | Critical Access | 275N00000X | Y | Hospital Units | Medicare Defined Swing Bed Unit |
No ID Information.