Provider Demographics
NPI:1568092732
Name:SCOTLAND COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:SCOTLAND COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-TEMPLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-465-8513
Mailing Address - Street 1:55682 STATE HIGHWAY 6
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MO
Mailing Address - Zip Code:63537-4267
Mailing Address - Country:US
Mailing Address - Phone:660-465-8513
Mailing Address - Fax:660-465-2956
Practice Address - Street 1:55682 STATE HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MO
Practice Address - Zip Code:63537-4267
Practice Address - Country:US
Practice Address - Phone:660-465-8513
Practice Address - Fax:660-465-2956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty