NPIMap

Organization Active NPI

Skaggs Community Hospital Association

Doing business as CoxHealth Center Branson West

  • Rural Health Clinic/Center
  • Branson West, MO
National Provider Identifier
1366520694
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 Center Branson West
Practice address
18452 Business Hwy 13
Branson West, MO 65737
Phone
(417) 272-8911
Fax
(417) 272-3900
NPI assigned
Nov 2, 2006
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
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

18452 Business Hwy 13
Branson West, MO 65737

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other identifiers 2

IdentifierTypeStateIssuer
507231801MedicaidMO
598473700MedicaidMO

Other names 1

  • CoxHealth Center Branson West 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
O20030314000004 MO Part A Provider - Rural Health Clinic 5092624320 Practice locations: Branson West, MO
O20040811000689 MO Part B Supplier - Clinic/Group Practice 5092624320 Receives reassigned benefits from 98 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Branson, MO; Columbia, MO; Forsyth, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366520694. Details of each certification follow.

Rural health clinic certification: CCN 263480

Legal name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
COXHEALTH CENTER BRANSON WEST
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 28, 1996
Last certification
Dec 4, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
18452 Business 13
Branson West, MO 65737-9609
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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

18452 Business 13
Reeds Spring, MO 65737
Phone (417) 272-8911

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 OfficerBoard Member Feb 13, 2023
Jackson Gurley Individual W-2 Managing Employee Mar 15, 2026
Dennis J Heim Individual Corporate OfficerBoard Member Oct 1, 2016
James W Hutcheson Individual Corporate OfficerBoard Member Oct 1, 2016
Carol a Taylor Individual Corporate OfficerBoard Member Oct 1, 2016
Thomas Douglas Individual Corporate DirectorBoard Member Nov 1, 2023
Logan Aguirre Individual Corporate Director Oct 1, 2025
Michelle Johnson Individual W-2 Managing Employee Mar 15, 2026
Stuart Lipscomb Individual Corporate DirectorBoard Member Nov 3, 2023
Joseph W Turner Individual Corporate OfficerBoard Member Oct 1, 2016
Max Buetow Individual Corporate OfficerPresident/Ceo Feb 13, 2023
Charles T Chalender Individual Corporate OfficerBoard Member Oct 1, 2016
Nana a Gaisie Individual Corporate OfficerBoard Member Feb 13, 2023
Robert C Fulp Individual Corporate OfficerBoard Member Oct 1, 2016
Sara L. Hargis Individual Corporate OfficerBoard Member Oct 1, 2016
Larry W Lipscomb Individual Corporate OfficerBoard Member Oct 1, 2016
Brad E Erwin Individual Corporate OfficerBoard Member Feb 13, 2023
Pamela Yancey Individual Corporate DirectorBoard Member Nov 3, 2023
Susan Graves Individual Corporate OfficerBoard Member Feb 13, 2023
Ibrahim I Abdalla Individual Corporate OfficerBoard Member Oct 1, 2017
Vickie Nelson Individual Corporate OfficerBoard Member Oct 1, 2017
Joselyn Baldner Individual Corporate Director Oct 1, 2025
Daphne R Lemon Individual Corporate OfficerBoard Member Feb 13, 2023
Julia L Flax Individual Corporate OfficerBoard Member Oct 1, 2016
Jefferson M Tynes Individual Corporate OfficerBoard Member Oct 1, 2016
Brian R. Jared Individual Corporate OfficerBoard Member Oct 1, 2016
William K Mahoney Individual Corporate DirectorPresident Cox Branson May 7, 2024
W-2 Managing EmployeePresident Cox Branson May 7, 2024
Jan M. Baumgartner Individual Corporate OfficerBoard Member Oct 1, 2016
Jacob M McWay Individual Corporate OfficerCeo Oct 1, 2016
Corporate DirectorBoard Member Jan 1, 2015
Howard E Jarvis Individual Corporate OfficerBoard Member Oct 1, 2016
Hal Lynn Higdon Individual Corporate OfficerBoard Member Oct 1, 2016
The Bank of New York Mellon Trust Company Organization, New York, NY For-profit 5% Or Greater Mortgage Interest Nov 3, 2023 41%
Kurt D Hellweg Individual Corporate OfficerBoard Member Oct 1, 2016
Coxhealth Organization, Springfield, MO Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 1966 100%
Robert T Cox Individual Corporate OfficerBoard Member Feb 13, 2023

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 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1366520694",
    "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": "18452 BUSINESS HWY 13",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "65737",
            "telephone_number": "417-272-8911",
            "fax_number": "417-272-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507231801",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "598473700",
            "state": "MO"
        }
    ],
    "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 Center Branson West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CoxHealth Center Branson West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson West, MO

Sources for this page

Verify at the official NPI Registry.