Provider Demographics
NPI:1356786834
Name:SCOTLAND MEMORIAL HOSPITAL, INC
Entity type:Organization
Organization Name:SCOTLAND MEMORIAL HOSPITAL, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
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:910-276-7552
Mailing Address - Fax:910-277-0531
Practice Address - Street 1:705 LAUCHWOOD DR
Practice Address - Street 2:SUITE B
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5544
Practice Address - Country:US
Practice Address - Phone:910-276-7552
Practice Address - Fax:910-277-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCH0107207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty