Provider Demographics
NPI:1669429015
Name:COUNTY OF SCOTT
Entity type:Organization
Organization Name:COUNTY OF SCOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SATTLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-872-5774
Mailing Address - Street 1:608 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SCOTT CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67871-1517
Mailing Address - Country:US
Mailing Address - Phone:620-872-5774
Mailing Address - Fax:620-872-2314
Practice Address - Street 1:608 MAIN ST
Practice Address - Street 2:
Practice Address - City:SCOTT CITY
Practice Address - State:KS
Practice Address - Zip Code:67871-1517
Practice Address - Country:US
Practice Address - Phone:620-872-5774
Practice Address - Fax:620-872-2314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100116940AMedicaid
KS012797Medicare ID - Type Unspecified