Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
CoxHealth Center Kimberling City
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K. MAHONEY (CEO)
(417) 335-7270
Entity
Organization
Contact information
Practice address
2 KIMBERLING BLVD, KIMBERLING CITY, MO 65686
(417) 739-2520
(417) 335-7544
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65807
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5248
MO
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507219301
—
MO
05
—
598594802
—
MO
01
—
C43561
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
09/15/2017
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