Provider Demographics
NPI:1831173137
Name:ATTENTUS OF SCOTT COUNTY, LLC
Entity type:Organization
Organization Name:ATTENTUS OF SCOTT COUNTY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-569-8521
Mailing Address - Street 1:18797 ALBERTA STREET
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841
Mailing Address - Country:US
Mailing Address - Phone:423-569-8521
Mailing Address - Fax:423-569-2897
Practice Address - Street 1:18797 ALBERTA STREET
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841
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:2005-12-01
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000101282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4099792Medicaid
TN0440052Medicaid
TN4099792OtherBCBS OF TN
KY01601186Medicaid
TN000000354657OtherANTHEM BCBS OF KY
TNA3784111OtherJOHN DEERE HEALTH
TNA3784111Medicaid
TN440052Medicare Oscar/Certification