Organization
SCOTT COUNTY HOSPITAL DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D MARK BURNETT (CEO)
(620) 872-5811
Entity
Organization
Contact information
Practice address
310 E 3RD ST, SCOTT CITY, KS 67871
(620) 872-5811
(620) 872-7193
Mailing address
310 E 3RD ST, SCOTT CITY, KS 67871
(620) 872-5811
(620) 872-7193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048631
BCBS
KS
05
—
10091670G
—
KS
Enumeration date
06/27/2006
Last updated
08/22/2020
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