Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
CoxHealth Family Medicine Hollister
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
590 BIRCH RD, STE 2A, HOLLISTER, MO 65672-9605
(417) 335-7726
(417) 335-7588
Mailing address
PO BOX 770, BRANSON, MO 65615-0770
(417) 348-8611
(417) 348-8611
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596071605
—
MO
Enumeration date
11/02/2006
Last updated
02/08/2013
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