Skaggs Community Hospital Association

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Doing business as

Premier Family Medicine

Practice address

895 State Highway 248
Branson, MO 65616-3721

Phone

(417) 336-5100

Fax

(417) 336-5107

NPI assigned

Jan 9, 2007

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William K Mahoney

Title

Chief Executive Officer

Phone

(417) 335-7270

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Family Medicine Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1023167236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656150770",
            "telephone_number": "417-336-5100",
            "fax_number": "417-336-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 STATE HIGHWAY 248",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163721",
            "telephone_number": "417-336-5100",
            "fax_number": "417-336-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "417-335-7270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skaggs Community Health Center (Branson Family Medicine Clinic)
• Skaggs Community Health Center (Tri-Lakes Urology)
• Skaggs Community Health Center and Clinics (Branson Heart Center)
• Skaggs Community Hospital (Skilled Nursing)
• Skaggs Community Hospital Association (Skaggs South Pointe Medical Care)
• Skaggs Community Hospital Association (CoxHealth Emergency Services)
• Skaggs Community Hospital Association (Skaggs Family Health Clinic)
• Skaggs Community Hospital Association (Skaggs Center for Internal Medicine)
• Skaggs Community Hospital Association (CoxHealth Family Medicine & Obstetrics)
• Skaggs Community Hospital Association (Skaggs Roark Valley Family Medicine)

• Family Medicine Physician in Branson, MO
• Providers in Branson, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.