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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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