SCOTLAND MEMORIAL HOSPITAL INC (NPI# 1508850447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850447 |
| Entity Type | Organization |
| Organization Name | SCOTLAND MEMORIAL HOSPITAL INC |
| Other Organization Name | PEMBROKE FAMILY PRACTICE CENTER |
| Practice Address |
410-d S. Jones St. Pembroke NC 28372 |
| Mailing Address |
Po Box 2257 Laurinburg NC 28353-2257 |
| Practice Telephone | 9105214462 |
| Practice Fax Number | 9105217739 |
| Mailing Telephone | 9105214462 |
| Mailing Fax Number | 9105217739 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MATTHEW D. PRACHT (VP FINANCE) |
| Authorized Official Telephone | 9102917000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RAILROAD MEDICARE | DE7674 | 01 |
| NC | 34-3982 | 05 | |
| NC | BCBS | 01512 | 01 |
| Other Name | Type Code |
|---|---|
| PEMBROKE FAMILY PRACTICE CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1912428616 | Scotland Memorial Hospital Inc | Pharmacy | 410 D South Jones St, Pembroke, NC 28372-7261 | 2017-07-03 |
| 1023566635 | Scotland Memorial Hospital Inc | Surgery | 205 Lauchwood Dr Ste F, Laurinburg, NC 28352-4604 | 2016-09-13 |
| 1770577611 | Scotland Memorial Hospital Inc | General Practice | 957 Cheraw St, Bennettsville, SC 29512-2420 | 2005-09-07 |
| 1295359818 | Scotland Memorial Hospital Inc | Pharmacy | 957 Cheraw St, Bennettsville, SC 29512-2420 | 2020-05-29 |
| 1578108213 | Scotland Memorial Hospital Inc | Family Medicine | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2019-11-15 |
| 1861036899 | Scotland Memorial Hospital Inc | Surgery | 1600 Medical Dr, Laurinburg, NC 28352-5524 | 2019-11-02 |
| 1639652456 | Scotland Memorial Hospital Inc | General Practice | 500 Lauchwood Dr, Laurinburg, NC 28352-5501 | 2018-09-07 |
| 1265927636 | Scotland Memorial Hospital Inc | Internal Medicine | 601 Lauchwood Dr, Laurinburg, NC 28352-5510 | 2018-06-27 |
| 1205320983 | Scotland Memorial Hospital Inc | Urology | 521 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2018-06-18 |
| Street Address |
410-D S. JONES ST. |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.