Provider Demographics
NPI:1326167917
Name:ATTENTUS OF SCOTT COUNTY
Entity Type:Organization
Organization Name:ATTENTUS OF SCOTT COUNTY
Other - Org Name:SCOTT COUNTY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASST BOM
Authorized Official - Prefix:MISS
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VANOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-569-8521
Mailing Address - Street 1:18797 ALBERTA ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-2127
Mailing Address - Country:US
Mailing Address - Phone:423-569-8521
Mailing Address - Fax:423-569-2897
Practice Address - Street 1:18797 ALBERTA ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2127
Practice Address - Country:US
Practice Address - Phone:423-569-8521
Practice Address - Fax:423-569-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000101273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44S052Medicare Oscar/Certification