Skaggs Community Hospital Association
Organization Active NPI Physical Medicine & Rehabilitation Physician · Branson, MO
NPI 1285290288 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1285290288
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- SKAGGS COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 525 Branson Landing Blvd Ste 401
Branson, MO 65616-2064 - Phone
- (417) 330-3480
- Fax
- (417) 330-3485
- NPI assigned
- May 15, 2019
- Organization subpart
- No
Authorized official
- Name
- William Mahoney
- Title
- President
- Phone
- (417) 335-7270
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 27
Practitioners 3
-
Boyd D. Crockett, M.D.
-
Jennie L Gorham, DO
-
Jessica Anne Hanson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040614001256 | MO | Part B Supplier - Clinic/Group Practice | 5092624320 |
Receives reassigned benefits from 12 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Branson, MO; Springfield, MO |
National Provider Directory
- Tax ID family
- Skaggs Specialty Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
525 Branson Landing Blvd Ste 401
Branson, MO 65616-2064
Mailing address
PO Box 7411626
Chicago, IL 60674-5626
Other names
- COXHEALTH PHYSICAL MEDICINE AND REHABILITATION
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Branson, MO
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
- Skaggs Community Hospital Association
All providers in Branson, MO · Physical Medicine & Rehabilitation Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.