Coxhealth Inpatient Psychiatry | |
1423 N Jefferson Ave Ste B200 Springfield MO 65802-1953 | |
(417) 269-6891 | |
(417) 269-5595 |
Full Name | Coxhealth Inpatient Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 1423 N Jefferson Ave Ste B200, Springfield, 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 |
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Coxhealth Inpatient Psychiatry Po Box 505673 Saint Louis MO 63150-5673 Ph: (417) 730-6430 | Coxhealth Inpatient Psychiatry 1423 N Jefferson Ave Ste B200 Springfield MO 65802-1953 Ph: (417) 269-6891 |
NPI Number | 1740416098 |
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Provider Enumeration Date | 06/01/2009 |
Last Update Date | 09/27/2024 |
Certification Date | 09/27/2024 |
Medicare PECOS PAC ID | 1254248917 |
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Medicare Enrollment ID | O20220915000106 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740416098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Edgar Galinanes |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134125081 PECOS PAC ID: 6002008398 Enrollment ID: I20220920000018 |
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