Basic Information
Provider Information
NPI: 1609520071
EntityType: 2
ReplacementNPI:  
OrganizationName: COX-MONETT HOSPITAL, INC.
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Mailing Information
Address1: 1000 E HIGHWAY 60
Address2:  
City: MONETT
State: MO
PostalCode: 657088258
CountryCode: US
TelephoneNumber: 4172353144
FaxNumber: 4173541412
Practice Location
Address1: 1000 E HIGHWAY 60
Address2:  
City: MONETT
State: MO
PostalCode: 657088258
CountryCode: US
TelephoneNumber: 4172353144
FaxNumber: 4173541412
Other Information
ProviderEnumerationDate: 02/04/2022
LastUpdateDate: 02/04/2022
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: MAROC
AuthorizedOfficialFirstName: GENICE
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT / CEO
AuthorizedOfficialTelephone: 4173541407
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
291U00000X  Y LaboratoriesClinical Medical Laboratory 

No ID Information.


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