NPIMap

Organization Active NPI

Skaggs Community Hospital Association

Doing business as CoxHealth Womens Center Branson

  • Rural Health Clinic/Center
  • Branson, MO
National Provider Identifier
1336506757
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
CoxHealth Womens Center Branson
Practice address
525 Branson Landing Blvd
Suite 408
Branson, MO 65616-2052
Phone
(417) 348-8313
Fax
(417) 335-7230
NPI assigned
Jan 16, 2016
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
William Mahoney
Title
President
Phone
(417) 335-7270

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

525 Branson Landing Blvd
Suite 408
Branson, MO 65616-2052

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other practice location 1

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 348-8313

Other names 1

  • CoxHealth Womens Center Branson Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040614000736 MO Part B Supplier - Clinic/Group Practice 5092624320 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Branson, MO; Springfield, MO
O20250117000194 MO Part A Provider - Rural Health Clinic 5092624320 Practice locations: Branson, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336506757. Details of each certification follow.

Rural health clinic certification: CCN 268805

Legal name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
COXHEALTH WOMENS CENTER BRANSON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 5, 2024
Last certification
Sep 5, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
525 Branson Landing Blvd
Ste 408
Branson, MO 65616-2192
Related CCNs
260094

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Krystal Russell Individual Corporate Director Mar 1, 2024
Jackson Gurley Individual W-2 Managing Employee Mar 15, 2026
Dennis J Heim Individual Corporate Director Mar 1, 2024
James W Hutcheson Individual Corporate Director Mar 1, 2024
Carol a Taylor Individual Corporate Director Mar 1, 2024
Thomas Douglas Individual Corporate Director Mar 1, 2024
Logan Aguirre Individual Corporate Director Oct 1, 2025
Michelle Johnson Individual W-2 Managing Employee Mar 15, 2026
Stuart Lipscomb Individual Corporate Director Mar 1, 2024
Joseph W Turner Individual Corporate Director Mar 1, 2024
Max Buetow Individual Corporate Director Mar 1, 2024
Charles T Chalender Individual Corporate Director Mar 1, 2024
Nana a Gaisie Individual Corporate Director Mar 1, 2024
Robert C Fulp Individual Corporate Director Mar 1, 2024
Sara L. Hargis Individual Corporate Director Mar 1, 2024
Larry W Lipscomb Individual Corporate Director Mar 1, 2024
Brad E Erwin Individual Corporate Director Mar 1, 2024
Pamela Yancey Individual Corporate Director Mar 1, 2024
Susan Graves Individual Corporate Director Mar 1, 2024
Ibrahim I Abdalla Individual Corporate Director Mar 1, 2024
Vickie Nelson Individual Corporate Director Mar 1, 2024
Joselyn Baldner Individual Corporate Director Oct 1, 2025
Daphne R Lemon Individual Corporate Director Mar 1, 2024
Julia L Flax Individual Corporate Director Mar 1, 2024
Jefferson M Tynes Individual Corporate Director Mar 1, 2024
Brian R. Jared Individual Corporate Director Mar 1, 2024
William K Mahoney Individual Corporate DirectorPresident Cox Branson Mar 1, 2024
W-2 Managing EmployeePresident Cox Branson Mar 1, 2024
Jan M. Baumgartner Individual Corporate Director Mar 1, 2024
Jacob M McWay Individual Corporate Director Mar 1, 2024
Howard E Jarvis Individual Corporate Director Mar 1, 2024
Hal Lynn Higdon Individual Corporate Director Mar 1, 2024
The Bank of New York Mellon Trust Company Organization, New York, NY For-profit 5% Or Greater Mortgage Interest Mar 1, 2024 21%
Kurt D Hellweg Individual Corporate Director Mar 1, 2024
Coxhealth Organization, Springfield, MO Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2024 100%
Robert T Cox Individual Corporate Director Mar 1, 2024

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 24

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 24

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1336506757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411626",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606745626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD",
            "address_2": "SUITE 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162052",
            "telephone_number": "417-348-8313",
            "fax_number": "417-335-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075210",
            "country_code": "US",
            "telephone_number": "417-348-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-16",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-335-7270"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CoxHealth Womens Center Branson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CoxHealth Womens Center Branson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.