Organization
SCOTT COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K SCOTT (OWNER)
(208) 877-1999
Entity
Organization
Contact information
Practice address
507 OREGON ST., DEARY, ID 83823
(208) 877-1999
(208) 877-9004
Mailing address
PO BOX 307, DEARY, ID 83823-0307
(208) 877-1999
(208) 877-9004
Taxonomy
Speciality
Code
Description
License number
State
333300000X
Emergency Response System Companies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8074673
MEDICAID
ID
Enumeration date
04/25/2008
Last updated
09/11/2009
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