| Skaggs Community Hospital Association | |
|
2 Kimberling Blvd Kimberling City MO 65686 | |
| (417) 739-2520 | |
| (417) 335-7544 |
| Full Name | Skaggs Community Hospital Association |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2 Kimberling Blvd, Kimberling City, Missouri |
| Authorized Official Name and Position | William K. Mahoney (CEO) |
| Authorized Official Contact | 4173357270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skaggs Community Hospital Association Po Box 4046 Springfield MO 65807 Ph: (417) 269-7241 | Skaggs Community Hospital Association 2 Kimberling Blvd Kimberling City MO 65686 Ph: (417) 739-2520 |
| NPI Number | 1053499707 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053499707 | NPI | - | NPPES |
| 507219301 | Medicaid | MO | |
| 598594802 | Medicaid | MO | |
| C43561 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5248 (Missouri) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fordland Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11863 State Highway 13, Kimberling City, MO 65686 Phone: 417-739-1995 |