Healthcare Provider Details

I. General information

NPI: 1649201138
Provider Name (Legal Business Name): SCOTT COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ALBERT AVE
SCOTT CITY KS
67871-6117
US

IV. Provider business mailing address

201 ALBERT AVE
SCOTT CITY KS
67871-6117
US

V. Phone/Fax

Practice location:
  • Phone: 620-872-5811
  • Fax: 620-872-7193
Mailing address:
  • Phone: 620-872-5811
  • Fax: 620-872-7193

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH086001
License Number StateKS

VIII. Authorized Official

Name: CHARLES WELCH
Title or Position: CEO
Credential:
Phone: 620-872-5811