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Organization
SCOTTSBURG EMERGENCY SERVICES, LLC
Active
Organization
SCOTTSBURG EMERGENCY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE DAUCHERT (CEO/PRESIDENT)
(919) 768-4392
Entity
Organization
Contact information
Practice address
1451 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(812) 752-3456
Mailing address
PO BOX 827429, PHILADELPHIA, PA 19182-7429
(904) 805-1300
(904) 805-1302
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201878
BLUE CROSS & BLUE SHIELD
IN
01
—
1172648
PASSPORT HEALTH PLAN
IN
01
—
65934358
KY MEDICAID
IN
01
—
DD6466
RAIL ROAD MEDICARE
IN
Enumeration date
05/03/2006
Last updated
09/11/2025
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