Healthcare Provider Details

I. General information

NPI: 1831173137
Provider Name (Legal Business Name): ATTENTUS OF SCOTT COUNTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2005
Last Update Date: 01/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18797 ALBERTA STREET
ONEIDA TN
37841
US

IV. Provider business mailing address

18797 ALBERTA STREET
ONEIDA TN
37841
US

V. Phone/Fax

Practice location:
  • Phone: 423-569-8521
  • Fax: 423-569-2897
Mailing address:
  • Phone: 423-569-8521
  • Fax: 423-569-2897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000101
License Number StateTN

VIII. Authorized Official

Name: MR. WILLIAM H DUNCAN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 423-569-8521