MEDICARE: SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	52-51	MO

General Provider Information

NPI Number	:	1134355563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	PO BOX 770
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65615-0770
Country	:	US
Telephone Number	:	417-348-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 CAHILL RD
Second Line	:	SUITE 201
City	:	BRANSON
State	:	MO
Zip	:	65616-2036
Country	:	US
Telephone Number	:	417-335-7555
Fax Number	:	417-335-7588

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	DR. PETER R MARCELLUS
Credential	:	MD
Telephone Number	:	417-335-7000

Provider Enumeration Date	:	05/29/2009
Last Update Date	:	07/27/2009

Similar Medicare Providers

1770449225 — KRYSTAL LYNN ROBERTSON ATC
Practice Location Address:

121 CAHILL RD
BRANSON, MO
65616-2036

Practice Phone: 417-348-8100
Practice Fax:

1871523357 — SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

121 CAHILL RD , SUITE 206
BRANSON, MO
65616-2036

Practice Phone: 417-348-8100
Practice Fax: 417-348-8104

1912948910 — CHAD DOUGLAS EFIRD M.D.
Practice Location Address:

121 CAHILL RD , STE 206
BRANSON, MO
65616-2036

Practice Phone: 417-348-8100
Practice Fax: 417-348-8104

1811036767 — JAMIE S FLANAGAN FNP
Practice Location Address:

121 CAHILL RD , STE 204
BRANSON, MO
65616-2036

Practice Phone: 417-335-7296
Practice Fax: 417-335-7588

1649311648 — KEVIN HICKS
Practice Location Address:

121 CAHILL RD STE 101
BRANSON, MO
65616-2036

Practice Phone: 417-335-7274
Practice Fax:

1801190459 — SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:

121 CAHILL RD , SUITE 205
BRANSON, MO
65616-2036

Practice Phone: 417-334-8253
Practice Fax: 417-337-8992

Directions to “SKAGGS COMMUNITY HOSPITAL ASSOCIATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.