Skaggs Community Hospital Association

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SKAGGS COMMUNITY HOSPITAL ASSOCIATION

Doing business as

Skaggs Pediatric Care

Practice address

590 Birch Street
Ste 2C
Hollister, MO 65672

Phone

(417) 335-7337

Fax

(417) 335-7588

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Stephen M Erixon

Title

Chief Executive Officer

Phone

(417) 335-7270

Specialties & licenses 2

Addresses

Other names 1

• Skaggs Pediatric Care Doing business as

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200700800000",
    "number": "1538247887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 BIRCH STREET",
            "address_2": "STE 2C",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "65672",
            "telephone_number": "417-335-7337",
            "fax_number": "417-335-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 BIRCH STREET",
            "address_2": "STE 2C",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "65672",
            "telephone_number": "417-335-7337",
            "fax_number": "417-335-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-01-19",
        "status": "A",
        "authorized_official_last_name": "ERIXON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "417-335-7270"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "5248",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skaggs Pediatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• School Dist R5 Hollister
• Jennifer Nicole Schulte, MSW, LCSW
• Serc Rehabilitation Partners LLC
• Skaggs Community Hospital Association
• Skaggs Community Hospital Association
• Skaggs Community Hospital Association
• Smith Management Services, LLC
• Caleb Smith
• Ashley Sorrell
• Sound Advice Hearing Doctors LLC

• Rural Health Clinic/Center in Hollister, MO
• Providers in Hollister, 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 Jan 19, 2008; 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.