Provider Demographics
NPI:1245214980
Name:HOSPICE OF SCOTLAND COUNTY, INC
Entity Type:Organization
Organization Name:HOSPICE OF SCOTLAND COUNTY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:NEWKIRK
Authorized Official - Last Name:MURRRAY
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN,MS
Authorized Official - Phone:910-276-7176
Mailing Address - Street 1:PO BOX 1033
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28353-1033
Mailing Address - Country:US
Mailing Address - Phone:910-276-7176
Mailing Address - Fax:910-277-1941
Practice Address - Street 1:610 LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5509
Practice Address - Country:US
Practice Address - Phone:910-276-7176
Practice Address - Fax:910-277-1941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC0401251G00000X
SCHPC069251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCHSP046OtherMEDICAID
NC0020AOtherBCBS
NC3401555Medicaid
SC421594Medicare Oscar/Certification
NC3401555Medicaid