SCOTLAND MEMORIAL HOSPITAL INC NPI 1417941352

NPI Information

NPI: 1417941352
Provider Name: SCOTLAND MEMORIAL HOSPITAL, INC

Doing Business As: MAXTON FAMILY PRACTICE CENTER

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1001 W. MARTIN LUTHER KING JR. DR.
MAXTON, NC
ZIP 28364
Phone: (910) 844-4077
Get Directions

SCOTLAND MEMORIAL HOSPITAL, INC is a rural health clinic center in Maxton, NC. SCOTLAND MEMORIAL HOSPITAL, INC NPI is 1417941352. The provider is registered as an organization entity type.
The provider Is Doing Business As Maxton Family Practice Center.

The provider's business location address is:

1001 W. MARTIN LUTHER KING JR. DR.
MAXTON, NC
ZIP 28364
Phone: (910) 844-4077
Fax: (910) 844-5840

The provider's authorized official is Lucien Stonge .
The authorized official title is Cfo and has the following contact phone number (910) 291-7547.

The CLIA number assigned to this NPI record is 34D0856481 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/7/2005 and was last updated on 9/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health		NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	34-3987	MEDICAID	NORTH CAROLINA
2	0262L	OTHER	NORTH CAROLINA	BCBS
3	NPA922	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »