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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1821262163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	251 SKAGGS RD
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-2031
Country	:	US
Telephone Number	:	417-348-8611
Fax Number	:

Provider Business Practice Location Address
First Line	:	4480 N GRETNA RD
Second Line	:
City	:	BRANSON
State	:	MO
Zip	:	65616-7202
Country	:	US
Telephone Number	:	417-334-2114
Fax Number	:	417-335-7588

Authorized Official
Title or Position	:	CEO
Name	:	STEPHEN M ERIXON
Credential	:
Telephone Number	:	417-335-7350

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	04/17/2008

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