# SKAGGS COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Skaggs Family Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083644561
- **Authorized official:** WILLIAM K MAHONEY (CEO)
- **Authorized official phone:** (417) 335-7270

## Contact information

- **Practice address:** 545 BRANSON LANDING BLVD, SUITE 504, BRANSON, MO 65616
- **Practice address phone:** (417) 335-7540
- **Practice address fax:** (417) 335-7544
- **Mailing address:** 545 BRANSON LANDING BLVD, SUITE 504, BRANSON, MO 65616
- **Mailing address phone:** (417) 335-7540
- **Mailing address fax:** (417) 335-7544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 52-53 | MO | Yes |
| 207RP1001X | Pulmonary Disease Physician | 52-53 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 52-53 | MO | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 12/17/2010