| Coxhealth Center Branson West | |
|
18452 Business Hwy 13 Branson West MO 65737 | |
| (417) 272-8911 | |
| (417) 272-3900 |
| Full Name | Coxhealth Center Branson West |
|---|---|
| Speciality | Clinic/Center |
| Location | 18452 Business Hwy 13, Branson West, Missouri |
| Authorized Official Name and Position | William K. Mahoney (CEO) |
| Authorized Official Contact | 4173357270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Center Branson West Po Box 802843 Kansas City MO 64180-2843 Ph: (417) 730-6430 | Coxhealth Center Branson West 18452 Business Hwy 13 Branson West MO 65737 Ph: (417) 272-8911 |
| NPI Number | 1366520694 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 06/15/2022 |
| Medicare PECOS PAC ID | 5092624320 |
|---|---|
| Medicare Enrollment ID | O20030314000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366520694 | NPI | - | NPPES |
| C43561 | Other | RAILROAD MEDICARE | |
| 598473700 | Medicaid | MO | |
| 507231801 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5248 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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