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General NPI Number Information
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NPI Number | 1629156971
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Entity Type | Organization
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Legal Business Name | SKAGGS COMMUNITY HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1601 BRANSON HILLS PKWY STE 100
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City | BRANSON
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State | MO
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Zip | 65616-9908
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Country | US
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Telephone | 417-348-8964
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Fax | 417-336-0275
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Provider Business Mailing Address
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Address Line | PO BOX 7411626
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City | CHICAGO
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State | IL
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Zip | 60674-5626
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECXUTIVE OFFICER
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Name | MR. WILLIAM K MAHONEY
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Credential |
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Telephone | 417-335-7270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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