| Scott Community Care, Pllc | |
|
200 S Almon St Ste 101 Moscow ID 83843-2098 | |
| (208) 877-1444 | |
| (208) 877-9004 |
| Full Name | Scott Community Care, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 S Almon St Ste 101, Moscow, Idaho |
| Authorized Official Name and Position | Melanie Jayne Scott (OWNER) |
| Authorized Official Contact | 2088771444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Community Care, Pllc Po Box 307 Deary ID 83823-0307 Ph: (208) 877-1444 | Scott Community Care, Pllc 200 S Almon St Ste 101 Moscow ID 83843-2098 Ph: (208) 877-1444 |
| NPI Number | 1811015308 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811015308 | NPI | - | NPPES |
| 805891500 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 8058915 (Idaho) | Primary |
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