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NPI Code Detail

MEDICARE: SKAGGS COMMUNITY HOSPITAL ASSOCIATION

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
1208M00000XHospitalist Physician

General Provider Information

NPI Number : 1477941862
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Provider Business Mailing Address
First Line : PO BOX 7411626
Second Line :
City : CHICAGO
State : IL
Zip : 60674-5626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 BRANSON LANDING BLVD STE 201A
Second Line :
City : BRANSON
State : MO
Zip : 65616-2052
Country : US
Telephone Number : 417-335-7128
Fax Number : 417-348-8007
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM MAHONEY
Credential :
Telephone Number : 417-335-7270
Provider Enumeration Date : 01/07/2015
Last Update Date : 12/19/2025

Similar Medicare Providers

1336506757 — SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Practice Location Address:
525 BRANSON LANDING BLVD , SUITE 408
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1629888755 — ASHLYN ARMOUR
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1427045780 — MR. DREW A GARCIA PA
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1275531683 — DR. ANTHONY WHEELER MD
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Practice Fax:
1497753446 — DR. RICHARD S MAKUCH MD
Practice Location Address:
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1356320436 — DR. LANCE HAMILTON BORUP D.O.
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Directions to “SKAGGS COMMUNITY HOSPITAL ASSOCIATION ” Practice Location

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