Organization
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
CoxHealth General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM K MAHONEY (CEO)
(417) 335-7490
Entity
Organization
Contact information
Practice address
525 BRANSON LANDING BLVD STE 312, BRANSON, MO 65616-2194
(417) 348-8080
(417) 335-7588
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-7241
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
52-47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509139309
—
MO
01
—
CI2096
RAILROAD MEDICARE
—
Enumeration date
12/21/2006
Last updated
09/13/2017
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