Healthcare Provider Details

I. General information

NPI: 1437187895
Provider Name (Legal Business Name): SCOTT COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 12/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ALBERT AVE
SCOTT CITY KS
67871
US

IV. Provider business mailing address

201 ALBERT AVE
SCOTT CITY KS
67871
US

V. Phone/Fax

Practice location:
  • Phone: 620-872-2187
  • Fax: 620-872-7193
Mailing address:
  • Phone: 620-872-2187
  • Fax: 620-872-7193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. D. MARK MARK BURNETT
Title or Position: CEO
Credential:
Phone: 620-872-2187