OrganizationActive
Si03, Inc.
NPI 1144505447 · Medical Foods Supplier · Scott City, MO
Provider details
- NPI number
- 1144505447
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jeff Fanger, General Manager(573) 388-2301
Specialties & taxonomies
Suppliers
Practice location
4711 Nash Road
Scott City, MO 63780
Phone: (573) 388-2301
Fax: (573) 388-2308
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1715
Cape Girardeau, MO 63702
Registry dates
- Enumerated
- 2011-10-18
- Last updated
- 2011-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.