| Coxhealth Center Willow Springs | |
|
816 E Main Willow Springs MO 65793 | |
| (417) 269-2490 | |
| (417) 269-2492 |
| Full Name | Coxhealth Center Willow Springs |
|---|---|
| Speciality | Clinic/Center |
| Location | 816 E Main, Willow Springs, Missouri |
| Authorized Official Name and Position | Jacob Mcway (SR VP & CFO) |
| Authorized Official Contact | 4172698811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coxhealth Center Willow Springs Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | Coxhealth Center Willow Springs 816 E Main Willow Springs MO 65793 Ph: (417) 269-2490 |
| NPI Number | 1407950520 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 04/10/2024 |
| Medicare PECOS PAC ID | 1254248917 |
|---|---|
| Medicare Enrollment ID | O20030911000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407950520 | NPI | - | NPPES |
| 590166500 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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