Healthcare Provider Details

I. General information

NPI: 1467391508
Provider Name (Legal Business Name): SC & C DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 N BROADWAY ST
POPLAR BLUFF MO
63901-5818
US

IV. Provider business mailing address

112 N BROADWAY ST
POPLAR BLUFF MO
63901-5818
US

V. Phone/Fax

Practice location:
  • Phone: 573-686-2273
  • Fax:
Mailing address:
  • Phone: 573-686-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LEANN JONES-TOMPKINS
Title or Position: PRESIDENT
Credential:
Phone: 573-686-2273