NPIMap

Organization Active NPI

Skaggs Community Health Center and Clinics

Doing business as Branson Heart Center

  • Specialist
  • Branson, MO
National Provider Identifier
1881678688
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SKAGGS COMMUNITY HEALTH CENTER AND CLINICS
Doing business as
Branson Heart Center
Practice address
1150 State Highway 248
Ste. 100
Branson, MO 65616-3758
Phone
(417) 336-4112
Fax
(417) 335-4684
NPI assigned
Dec 5, 2005
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Steve Erixson
Title
Ceo
Phone
(417) 336-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MO Primary

Addresses

Primary practice location

1150 State Highway 248
Ste. 100
Branson, MO 65616-3758

Mailing address

1150 State Highway 248
Ste. 100
Branson, MO 65616-3758
Phone (417) 336-4112

Other identifiers 3

IdentifierTypeStateIssuer
155784002MedicaidAR
507263200MedicaidMO
CI2096OtherMORAILROAD MEDICARE

Other names 1

  • Branson Heart Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Skaggs Community Health29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

1150 State Highway 248
Ste 100
Branson, MO 65616
Phone (417) 336-4112

515 Bee Creek Rd
Branson, MO 65616
Phone (417) 336-4112

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1881678688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248",
            "address_2": "STE. 100",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163758",
            "telephone_number": "417-336-4112",
            "fax_number": "417-335-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE HIGHWAY 248",
            "address_2": "STE. 100",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656163758",
            "telephone_number": "417-336-4112",
            "fax_number": "417-335-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HEALTH CENTER AND CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ERIXSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-336-4112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155784002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507263200",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI2096",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branson Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.