Basic Information
Provider Information
NPI: 1750939351
EntityType: 2
ReplacementNPI:  
OrganizationName: COX MONETT HOSPITAL INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: COXHEALTH SURGERY MONETT
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 802843
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641802843
CountryCode: US
TelephoneNumber: 4172697241
FaxNumber: 4172697567
Practice Location
Address1: 1000 E HIGHWAY 60
Address2:  
City: MONETT
State: MO
PostalCode: 65708
CountryCode: US
TelephoneNumber: 4172362440
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2019
LastUpdateDate: 06/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BASS
AuthorizedOfficialFirstName: DARREN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT COX MONETT
AuthorizedOfficialTelephone: 4173541407
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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