Provider Demographics
NPI:1265426191
Name:SCOTLAND MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:SCOTLAND MEMORIAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:V.P. FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:D
Authorized Official - Last Name:PRACHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-291-7000
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-2257
Mailing Address - Country:US
Mailing Address - Phone:910-276-2704
Mailing Address - Fax:910-276-9412
Practice Address - Street 1:2362 HWY 130 WEST
Practice Address - Street 2:
Practice Address - City:ROWLAND
Practice Address - State:NC
Practice Address - Zip Code:28383
Practice Address - Country:US
Practice Address - Phone:910-422-8811
Practice Address - Fax:910-422-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07176OtherBCBS
NCCA3830OtherRAILROAD MEDICARE
NC34-3980Medicaid
NC07176OtherBCBS
NC34-3980Medicaid