Basic Information
Provider Information
NPI: 1801309703
EntityType: 2
ReplacementNPI:  
OrganizationName: COX BARTON COUNTY HOSPITAL
LastName:  
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Mailing Information
Address1: 1423 N JEFFERSON AVE
Address2:  
City: SPRINGFIELD
State: MO
PostalCode: 658021917
CountryCode: US
TelephoneNumber: 4172693021
FaxNumber:  
Practice Location
Address1: 29 NW 1ST LN
Address2:  
City: LAMAR
State: MO
PostalCode: 647598105
CountryCode: US
TelephoneNumber: 4176815100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/14/2017
LastUpdateDate: 02/18/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: EDWARDS
AuthorizedOfficialFirstName: STEVE
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AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 4172693021
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 02/18/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC0060X  Y HospitalsGeneral Acute Care HospitalCritical Access

No ID Information.


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