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Organization
SERC HAND OF CASS COUNTY LLC
Active
Organization
SERC HAND OF CASS COUNTY LLC
Active
Other names
SERC Hand Harrisonville
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT G HARNDEN OTR/L, CHT (CLINIC DIRECTOR)
(816) 380-3344
Entity
Organization
Contact information
Practice address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(815) 380-3044
Mailing address
815 WESTCHESTER AVE, HARRISONVILLE, MO 64701-1784
(816) 380-3344
(815) 380-3044
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2006025819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38514011
BCBS OF KC
MO
Enumeration date
08/05/2009
Last updated
08/05/2009
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