Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

SI03, Inc

Organization Medical Foods Supplier · NPI 1144505447

SI03, Inc is a Medical Foods Supplier in Scott City, Missouri. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4711 Nash Rd
Scott City, MO 63780
Phone: (573) 388-2301
Fax: (573) 388-2308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Foods Supplier (primary) Taxonomy 335G00000X

Record details

NPI number1144505447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeff Fanger — General Manager · (573) 388-2301
NPI enumeratedOctober 18, 2011
Last updated in NPPESOctober 18, 2011
Mailing addressPo Box 1715, Cape Girardeau, MO 63702