Organization
SCOTLAND MEMORIAL HOSPITAL, INC
Active
Other names
MAXTON FAMILY PRACTICE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIEN STONGE (CFO)
(910) 291-7547
Entity
Organization
Contact information
Practice address
1001 W. MARTIN LUTHER KING JR. DR., MAXTON, NC 28364
(910) 844-4077
(910) 844-5840
Mailing address
PO BOX 604093, CHARLOTTE, NC 28260-4093
(910) 291-7000
(910) 844-5840
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262L
BCBS
NC
05
—
34-3987
—
NC
05
—
NPA922
—
SC
Enumeration date
09/07/2005
Last updated
09/22/2022
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