| Organization Name: | SCOTT COUNTY MEDICAL CLINIC INC |
| NPI Number: | 1033282405 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRACY K MORGAN (OFFICE MANAGER) |
| Mailing Address: | 19268 Alberta Ave Oneida |
| State: | TN US |
| Postal Code: | 37841 |
| Phone Number: | 4235698462 |
| Fax Number: | 4235692577 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | 0270796 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |