| Scott Community Care, Pllc | |
|
200 S Almon St Ste 101 Moscow ID 83843-2098 | |
| (208) 877-1444 | |
| Not Available |
| Full Name | Scott Community Care, Pllc |
|---|---|
| Speciality | Clinic/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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 | 1356644769 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 09/09/2015 |
| Medicare PECOS PAC ID | 2567701618 |
|---|---|
| Medicare Enrollment ID | O20190306003704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356644769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Douglas P Salada |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386919124 PECOS PAC ID: 5395067391 Enrollment ID: I20141202001364 |
| Provider Name | Kristine A Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629278197 PECOS PAC ID: 2163719501 Enrollment ID: I20160928001271 |
| Provider Name | Lennard P Zylstra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407808728 PECOS PAC ID: 3072570514 Enrollment ID: I20190516001297 |
| Provider Name | Veronica Rose Mundell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043859515 PECOS PAC ID: 5496181067 Enrollment ID: I20200130002685 |
| Provider Name | Roxanne Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194064980 PECOS PAC ID: 4082066774 Enrollment ID: I20240118001124 |
| Provider Name | Jason Hooper |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770804320 PECOS PAC ID: 8224480926 Enrollment ID: I20240118001615 |
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