# SKAGGS COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023167236
- **Authorized official:** MR. WILLIAM K MAHONEY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (417) 335-7270

## Contact information

- **Practice address:** 895 STATE HIGHWAY 248, BRANSON, MO 65616-3721
- **Practice address phone:** (417) 336-5100
- **Practice address fax:** (417) 336-5107
- **Mailing address:** PO BOX 770, BRANSON, MO 65615-0770
- **Mailing address phone:** (417) 336-5100
- **Mailing address fax:** (417) 336-5107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 03/25/2010