Skaggs-Cox Health Alliance, LLC.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SKAGGS-COX HEALTH ALLIANCE, LLC.

Practice address

1101 Branson Hills Pkwy
Branson, MO 65616-9942

Phone

(417) 336-0536

Fax

(417) 336-0539

NPI assigned

Jan 20, 2010

Organization subpart

Yes

Parent organization

COX HEALTH ALLIANCE LLCAs reported in NPPES

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

Authorized official

Name

Robert H. Bezanson

Title

President & Ceo

Phone

(417) 269-3108

Specialties & licenses 1

Addresses

Other names 1

• The Clinic at Wal-Mart Operated by Cox Health in Partnership with Skag Doing business as

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1619208303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4046",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084046",
            "telephone_number": "417-269-5712",
            "fax_number": "417-269-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BRANSON HILLS PKWY",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169942",
            "telephone_number": "417-336-0536",
            "fax_number": "417-336-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS-COX HEALTH ALLIANCE, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COX HEALTH ALLIANCE LLC",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "BEZANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "417-269-3108"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Clinic at Wal-Mart Operated by Cox Health in Partnership with Skag",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Skaggs Community Hospital Association
• Skaggs Community Hospital Association
• Skaggs Community Hospital Association
• Skaggs Community Hospital Association
• Skaggs Community Hosptial Association
• Katherine Dollie Skaggs, D.O.
• Smith Management Services, LLC
• Smith Management Services, LLC
• Jackie L Smith, D.D.S.
• Jeffrey Smith

• Family Nurse Practitioner in Branson, MO
• Providers in Branson, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.