NPIMap

Skaggs Community Hospital Association

Organization Active NPI Interventional Cardiology Physician · Branson, MO

NPI 1194752162 · NPPES record last updated Jan 19, 2008

Key facts

NPI
1194752162
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Cardiology Physician 207RI0011X
License
52-48 (MO)
Legal business name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Practice address
545 Branson Landing Blvd.
Ste 306
Branson, MO 65616
Phone
(417) 335-7490
Fax
(417) 335-7588
NPI assigned
Jun 27, 2006
Organization subpart
No

Authorized official

Name
Steve M Erixon
Title
Ceo
Phone
(417) 335-7272

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RI0011X 52-48 MO Yes

Addresses

Primary practice location

545 Branson Landing Blvd.
Ste 306
Branson, MO 65616

Mailing address

545 Branson Landing Blvd.
Ste 306
Branson, MO 65616
Phone (417) 335-7490

Other identifiers

IdentifierTypeStateIssuer
CI2096OtherRAILROAD MEDICARE

Other names

  • Branson Cardiovascular Associates Doing business as

Other providers in Branson, MO

All providers in Branson, MO · Interventional Cardiology Physician in Missouri

Sources for this page

Verify at the official NPI Registry.