NPIMap

Organization Active NPI

Skaggs Community Hospital Association

Doing business as CoxHealth Center Forsyth

  • Rural Health Clinic/Center
  • Forsyth, MO
National Provider Identifier
1861423683
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 Forsyth
Practice address
13852 US Highway 160
Forsyth, MO 65653-5156
Phone
(417) 546-3500
Fax
(417) 546-3343
NPI assigned
Jul 6, 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 Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

13852 US Highway 160
Forsyth, MO 65653-5156

Mailing address

PO Box 7411626
Chicago, IL 60674-5626

Other names 1

  • CoxHealth Center Forsyth 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
O20040811000689 MO Part B Supplier - Clinic/Group Practice 5092624320 Receives reassigned benefits from 98 practitioners
5 other NPIs on this enrollment
Practice locations: Branson, MO; Columbia, MO; Forsyth, MO
O20240322002611 MO Part A Provider - Rural Health Clinic 5092624320 Practice locations: Forsyth, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861423683. Details of each certification follow.

Rural health clinic certification: CCN 268806

Legal name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
COXHEALTH CENTER FORSYTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 3, 2024
Last certification
Sep 3, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
13852 US Highway 160
Forsyth, MO 65653-5156
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

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 Apr 1, 2024
Jackson Gurley Individual W-2 Managing Employee Mar 15, 2026
Dennis J Heim Individual Corporate Director Apr 1, 2024
James W Hutcheson Individual Corporate Director Apr 1, 2024
Carol a Taylor Individual Corporate Director Apr 1, 2024
Thomas Douglas Individual Corporate Director Apr 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 Apr 1, 2024
Joseph W Turner Individual Corporate Director Apr 1, 2024
Max Buetow Individual Corporate DirectorPresident/Ceo Apr 1, 2024
Charles T Chalender Individual Corporate Director Apr 1, 2024
Nana a Gaisie Individual Corporate Director Apr 1, 2024
Robert C Fulp Individual Corporate Director Apr 1, 2024
Sara L. Hargis Individual Corporate Director Apr 1, 2024
Larry W Lipscomb Individual Corporate Director Apr 1, 2024
Brad E Erwin Individual Corporate Director Apr 1, 2024
Pamela Yancey Individual Corporate Director Apr 1, 2024
Susan Graves Individual Corporate Director Apr 1, 2024
Ibrahim I Abdalla Individual Corporate Director Apr 1, 2024
Vickie Nelson Individual Corporate Director Apr 1, 2024
Joselyn Baldner Individual Corporate Officer Oct 1, 2025
Daphne R Lemon Individual Corporate Director Apr 1, 2024
Julia L Flax Individual Corporate Director Apr 1, 2024
Jefferson M Tynes Individual Corporate Director Apr 1, 2024
Brian R. Jared Individual Corporate Director Apr 1, 2024
William K Mahoney Individual Corporate DirectorPresident Cox Branson Apr 1, 2024
W-2 Managing EmployeePresident Cox Branson Apr 1, 2024
Jan M. Baumgartner Individual Corporate Director Apr 1, 2024
Jacob M McWay Individual Corporate Director Apr 1, 2024
Howard E Jarvis Individual Corporate Director Apr 1, 2024
Hal Lynn Higdon Individual Corporate Director Apr 1, 2024
The Bank of New York Mellon Trust Company Organization, New York, NY For-profit 5% Or Greater Mortgage Interest Apr 1, 2024 21%
Kurt D Hellweg Individual Corporate Director Apr 1, 2024
Coxhealth Organization, Springfield, MO Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2024 100%
Operational/Managerial Control Apr 1, 2024 100%
Robert T Cox Individual Corporate Director Apr 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 102

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 102

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1861423683",
    "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": "13852 US HIGHWAY 160",
            "city": "FORSYTH",
            "state": "MO",
            "postal_code": "656535156",
            "telephone_number": "417-546-3500",
            "fax_number": "417-546-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "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": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "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 Center Forsyth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CoxHealth Center Forsyth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forsyth, MO

Sources for this page

Verify at the official NPI Registry.