SKAGGS COMMUNITY HOSPITAL ASSOCIATION (NPI# 1629156971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629156971 |
| Entity Type | Organization |
| Organization Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
| Other Organization Name | COXHEALTH FAMILY MEDICINE BRANSON HWY 248 |
| Practice Address |
1150 State Highway 248 Suite 202 Branson MO 65616-3758 |
| Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
| Practice Telephone | 4173488964 |
| Practice Fax Number | 4173357588 |
| Mailing Telephone | 4172697241 |
| Mailing Fax Number | 4172697567 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MR. WILLIAM K MAHONEY (CHIEF EXECXUTIVE OFFICER) |
| Authorized Official Telephone | 4173357270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 52-52 | MO | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 590646600 | 05 | |
| RAILROAD MEDICARE | CI2096 | 01 |
| Other Name | Type Code |
|---|---|
| CoxHealth Family Medicine Branson Hwy 248 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290288 | Skaggs Community Hospital Association | Physical Medicine & Rehabilitation | 525 Branson Landing Blvd Ste 401, Branson, MO 65616-2064 | 2019-05-15 |
| 1548780620 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248 Ste 102, Branson, MO 65616-4186 | 2017-06-21 |
| 1013241363 | Skaggs Community Hospital Association | Family Medicine | 2461 State Highway 165, Suite E, Branson, MO 65616-8690 | 2009-09-18 |
| 1467614206 | Skaggs Community Hospital Association | Family Medicine | 15765 State Hwy 13, Suite 3, Branson West, MO 65737-8673 | 2008-07-01 |
| 1154580777 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 101, Branson, MO 65616-2052 | 2008-06-09 |
| 1871786905 | Skaggs Community Hospital Association | Internal Medicine | 525 Branson Landing Blvd Ste 306, Branson, MO 65616-2140 | 2007-08-22 |
| 1659402436 | Skaggs Community Hospital Association | Durable Medical Equipment & Medical Supplies | 4480 N Gretna Rd, Branson, MO 65616-7202 | 2007-03-07 |
| 1386708600 | Skaggs Community Hospital Association | Surgery | 525 Branson Landing Blvd Ste 312, Branson, MO 65616-2194 | 2006-12-21 |
| 1538247887 | Skaggs Community Hospital Association | Pediatrics | 590 Birch Street, Ste 2c, Hollister, MO 65672 | 2006-11-02 |
| 1114005451 | Skaggs Community Hospital Association | Family Medicine | 525 Branson Landing Blvd Ste 508, Branson, MO 65616-2131 | 2006-11-02 |
| Street Address |
1150 STATE HIGHWAY 248 SUITE 202 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678688 | Skaggs Community Health Center and Clinics | Specialist | 1150 State Highway 248, Ste. 100, Branson, MO 65616-3758 | 2005-12-05 |
| 1518460229 | Karissa N Fox Koscheski | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2018-03-09 |
| 1164973020 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2016-10-17 |
| 1124415864 | Leo Michael Martinez | Social Worker | 1150 State Highway 248, Ste 202, Branson, MO 65616-3758 | 2015-04-21 |
| 1952705881 | Stephanie Jean Rexilius | Nurse Practitioner | 1150 State Highway 248, Branson, MO 65616-3758 | 2014-10-21 |
| 1508279381 | Jeremy Berbereia | Physician Assistant | 1150 State Highway 248, #200, Branson, MO 65616-3758 | 2014-06-09 |
| 1902188535 | Skaggs Community Hospital Association | Obstetrics & Gynecology | 1150 State Highway 248, Suite 201b, Branson, MO 65616-3758 | 2011-09-09 |
| 1629203120 | Irina G Durbin | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2009-05-28 |
| 1770728586 | Branson Heart Center | Internal Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2008-12-08 |
| 1992894331 | Bonnie Blevins | Clinical Nurse Specialist | 1150 State Highway 248, Suite 200, Branson, MO 65616-3758 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154656940 | Bridges Medical Services P.C. | Clinic/Center | 1440 State Highway 248 Ste O, Branson, MO 65616-9257 | 2009-10-12 |
| 1326576174 | Branson Clinic, LLC | Clinic/Center | 110 Business Park Dr Ste C, Branson, MO 65616-7449 | 2017-05-24 |
| 1144498528 | Mercy Clinic-springfield Communities | Clinic/Center | 260 Terrace Rd, Branson, MO 65616-8909 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.