Skaggs Community Hospital Association

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Doing business as

CoxHealth Center Kimberling City

Practice address

2 Kimberling Blvd
Kimberling City, MO 65686

Phone

(417) 739-2520

Fax

(417) 335-7544

NPI assigned

Nov 1, 2006

Last updated

Sep 15, 2017By 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

Ceo

Phone

(417) 335-7270

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• CoxHealth Center Kimberling City Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Skaggs Community Hospital Association

  dba CoxHealth Orthopedics

  • Orthopaedic Surgery Physician
  • Branson, MO
  • NPI 1871523357

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Jack Gillispie, MD

  • Family Medicine Physician
  • Branson, MO
  • NPI 1023052115
  NPD (past)
• Mark J Schultz, MD

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1265477517
  NPD (past)
• Jerry Chad White, DO

  • Family Medicine Physician
  • Independence, MO
  • NPI 1336359017
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1053499707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "65807",
            "telephone_number": "417-269-7241",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KIMBERLING BLVD",
            "city": "KIMBERLING CITY",
            "state": "MO",
            "postal_code": "65686",
            "telephone_number": "417-739-2520",
            "fax_number": "417-335-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-335-7270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "5248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507219301",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C43561",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598594802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoxHealth Center Kimberling City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• N & R of Kimberling City LLC (Tablerock Healthcare)
• Maddisen Marie Oldham, DH
• Cynthia Bittle Pappenfort, M.S., CCC-SLP
• Renita W. Randall, FNP
• Renae Jenelle Richardson
• Adam J Smith, D. C.
• Lydia Ann Snavely, M.S., CFY-SLP
• Andrea Sosa
• Table Rock Chiropractic P.C.
• Table Rock Counseling, LLC

• Rural Health Clinic/Center in Kimberling City, MO
• Providers in Kimberling City, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.