Healthcare Provider Details

I. General information

NPI: 1902890742
Provider Name (Legal Business Name): SCOTLAND MEMORIAL HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LAUCHWOOD DR
LAURINBURG NC
28352-5501
US

IV. Provider business mailing address

PO BOX 604093
CHARLOTTE NC
28260-4093
US

V. Phone/Fax

Practice location:
  • Phone: 910-291-7000
  • Fax: 910-291-7499
Mailing address:
  • Phone: 910-291-7171
  • Fax: 910-291-7180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number StateNC

VIII. Authorized Official

Name: LUCIEN STONGE
Title or Position: CFO
Credential:
Phone: 910-291-7547