Healthcare Provider Details

I. General information

NPI: 1487423109
Provider Name (Legal Business Name): SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2023
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 BRANSON HILLS PKWY STE 130
BRANSON MO
65616-9908
US

IV. Provider business mailing address

PO BOX 650
BRANSON MO
65615-0650
US

V. Phone/Fax

Practice location:
  • Phone: 417-988-8504
  • Fax:
Mailing address:
  • Phone: 417-335-7000
  • Fax: 417-335-7799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM K MAHONEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 417-335-7270