Coxhealth Center Republic | |
820 S Illinois Ave Republic MO 65738-1177 | |
(417) 269-1910 | |
(417) 269-1916 |
Full Name | Coxhealth Center Republic |
---|---|
Speciality | Family Medicine |
Location | 820 S Illinois Ave, Republic, Missouri |
Authorized Official Name and Position | David P Taylor (VICE PRESIDENT) |
Authorized Official Contact | 4172696262 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coxhealth Center Republic Po Box 4046 Springfield MO 65808-4046 Ph: (417) 269-5712 | Coxhealth Center Republic 820 S Illinois Ave Republic MO 65738-1177 Ph: (417) 269-1910 |
NPI Number | 1225102445 |
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Provider Enumeration Date | 11/20/2006 |
Last Update Date | 05/05/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225102445 | NPI | - | NPPES |
505427609 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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