Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Premier Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K MAHONEY (CHIEF EXECUTIVE OFFICER)
(417) 335-7270
Entity
Organization
Contact information
Practice address
895 STATE HIGHWAY 248, BRANSON, MO 65616-3721
(417) 336-5100
(417) 336-5107
Mailing address
PO BOX 770, BRANSON, MO 65615-0770
(417) 336-5100
(417) 336-5107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI2096
RAILROAD MEDICARE
—
Enumeration date
01/09/2007
Last updated
03/25/2010
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