Healthcare Provider Details

I. General information

NPI: 1326196056
Provider Name (Legal Business Name): SKAGGS COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SUITE # 2 GREENWALD CENTER 15765 STATE HWY 13
BRANSON WEST MO
65737
US

IV. Provider business mailing address

SUITE # 2 GREENWALD CENTER 15765 STATE HWY 13
BRANSON WEST MO
65737
US

V. Phone/Fax

Practice location:
  • Phone: 417-272-0372
  • Fax: 417-272-1126
Mailing address:
  • Phone: 417-272-0372
  • Fax: 417-272-1126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN M ERIXON
Title or Position: CEO
Credential:
Phone: 417-335-7270