1. Home
  2. Directory
  3. Missouri
  4. Scott City
  5. Medical Foods Supplier
  6. NPI Profile

SI03, INC.
NPI 1144505447
Medical Foods Supplier in Scott City, MO

Active since October 18, 2011
4711 NASH ROAD, SCOTT CITY, MO 63780(573) 388-2301(573) 388-2308 Get Directions Write a Review

NPPES record last updated: October 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Si03, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SI03, INC. (NPI 1144505447) is a healthcare organization registered as a medical foods supplier in Scott City, Missouri and active in the NPI registry since October 2011. The organization lists Jeff Fanger, General Manager, as its authorized official.

NPPES Registry Identity

NPI1144505447
Entity TypeOrganization
Primary Taxonomy335G00000X
Legal Business NameSI03, INC.
Location Address4711 NASH ROADScott City, MO 63780
Mailing AddressPo Box 1715Cape Girardeau, MO 63702 · (573) 388-2301 · Fax (573) 388-2302
Phone(573) 388-2301
Fax(573) 388-2308
Organization SubpartNo
Authorized OfficialJeff FangerGeneral Manager · (573) 388-2301
Enumeration DateOctober 18, 2011
✔ NPI 1144505447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Foods SupplierSuppliers
Taxonomy Code335G00000X
Definition
A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
4711 NASH ROAD, Scott City, MO 63780
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Si03, Inc.'s NPI number?

The NPI number for Si03, Inc. is 1144505447. It was assigned to this organization in the NPPES registry on October 18, 2011.

Where is Si03, Inc. located?

Si03, Inc. is located at 4711 Nash Road, Scott City, MO 63780. The listed phone number is (573) 388-2301.

What is Si03, Inc.'s specialty?

The primary specialty registered for this NPI is Medical Foods Supplier with taxonomy code 335G00000X.

When was this NPI record last updated?

The NPPES record for Si03, Inc. was last updated on October 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.