Organization
SCOTT CITY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN W MCCALLUM (CEO)
(573) 264-0042
Entity
Organization
Contact information
Practice address
2102 MAIN ST, SCOTT CITY, MO 63780-1337
(573) 264-0042
(573) 264-0087
Mailing address
2102 MAIN ST, SCOTT CITY, MO 63780-1337
(573) 264-0042
(573) 264-0087
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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