Organization Name: | SKAGGS COMMUNITY HOSPITAL ASSOCIATION |
NPI Number: | 1114958006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM K MAHONEY (CEO) |
Mailing Address: | 545 Branson Landing Blvd Ste 100 Branson |
State: | MO US |
Postal Code: | 656164500 |
Phone Number: | 4173488611 |
Fax Number: | 4173488611 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |