Provider Demographics
NPI:1093234296
Name:COX MONETT HOSPITAL INC
Entity Type:Organization
Organization Name:COX MONETT HOSPITAL INC
Other - Org Name:FAMILY AND OCCUPATIONAL MEDICINE OF MONETT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT COX MONETT
Authorized Official - Prefix:
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-354-1407
Mailing Address - Street 1:3800 S NATIONAL AVE STE 540
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-5284
Mailing Address - Country:US
Mailing Address - Phone:417-269-5712
Mailing Address - Fax:417-269-7567
Practice Address - Street 1:2200 E CLEVELAND ST
Practice Address - Street 2:
Practice Address - City:MONETT
Practice Address - State:MO
Practice Address - Zip Code:65708-6149
Practice Address - Country:US
Practice Address - Phone:417-236-2600
Practice Address - Fax:417-236-2619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty