# SKAGGS COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CoxHealth Center Kimberling City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053499707
- **Authorized official:** MR. WILLIAM K. MAHONEY (CEO)
- **Authorized official phone:** (417) 335-7270

## Contact information

- **Practice address:** 2 KIMBERLING BLVD, KIMBERLING CITY, MO 65686
- **Practice address phone:** (417) 739-2520
- **Practice address fax:** (417) 335-7544
- **Mailing address:** PO BOX 4046, SPRINGFIELD, MO 65807
- **Mailing address phone:** (417) 269-7241
- **Mailing address fax:** (417) 269-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 5248 | MO | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/15/2017
