Scott City Clinic | |
201 Albert Ave Scott City KS 67871 | |
(620) 872-2187 | |
(620) 872-7193 |
Full Name | Scott City Clinic |
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Speciality | Clinic/Center |
Location | 201 Albert Ave, Scott City, Kansas |
Authorized Official Name and Position | D. Mark Mark Burnett (CEO) |
Authorized Official Contact | 6208722187 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Scott City Clinic 201 Albert Ave Scott City KS 67871 Ph: (620) 872-2187 | Scott City Clinic 201 Albert Ave Scott City KS 67871 Ph: (620) 872-2187 |
NPI Number | 1437187895 |
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Provider Enumeration Date | 06/28/2006 |
Last Update Date | 12/29/2017 |
Medicare PECOS PAC ID | 5991773103 |
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Medicare Enrollment ID | O20040923001249 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437187895 | NPI | - | NPPES |
100091670E | Medicaid | KS | |
110470 | Other | KS | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Melissa B Batterton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881654309 PECOS PAC ID: 5991694689 Enrollment ID: I20040311000847 |
Provider Name | Christian E Cupp |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760410559 PECOS PAC ID: 6709877251 Enrollment ID: I20040521001255 |
Provider Name | Elizabeth J Hineman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285686907 PECOS PAC ID: 4981604881 Enrollment ID: I20061227000117 |
Provider Name | Matthew H Lightner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740509819 PECOS PAC ID: 7416113055 Enrollment ID: I20120725000697 |
Provider Name | Whitney W Nichols |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013321728 PECOS PAC ID: 2062639446 Enrollment ID: I20170920003066 |
Provider Name | Shannon Plummer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306514591 PECOS PAC ID: 6406154020 Enrollment ID: I20210929000377 |
Provider Name | Vanessa V Doan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356066252 PECOS PAC ID: 2860868528 Enrollment ID: I20221020001665 |
Provider Name | William Alexander Dobson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245331578 PECOS PAC ID: 2062700933 Enrollment ID: I20221228000707 |
Provider Name | Megan D Dirks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952675704 PECOS PAC ID: 4981839719 Enrollment ID: I20230307002557 |
County Of Scott Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 608 Main St, Scott City, KS 67871 Phone: 620-872-5774 Fax: 620-872-2314 |