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Organization
SCOTT MEDICAL SUPPLY INC
Active
Organization
SCOTT MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MICHAEL HATFIELD (OWNER)
(937) 235-5366
Entity
Organization
Contact information
Practice address
4420 TAYLORSVILLE ROAD, HUBER HEIGHTS, OH 45424
(937) 235-5366
(937) 235-0558
Mailing address
4420 TAYLORSVILLE ROAD, HUBER HEIGHTS, OH 45424
(937) 235-5366
(937) 235-0558
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
020852400
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000016766
ANTHEM BCBS
—
05
—
0887072
—
OH
Enumeration date
06/25/2006
Last updated
01/04/2010
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