Organization
SCOTLAND COUNTY
Active
Other names
Scotland County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN DAVID JENKINS M.P.A. (HEALTH DIRECTOR)
(910) 277-2440
Entity
Organization
Contact information
Practice address
1405 WEST BLVD, LAURINBURG, NC 28352-9170
(910) 277-2440
(910) 277-2450
Mailing address
PO BOX 69, LAURINBURG, NC 28353-0069
(910) 277-2440
(910) 277-2450
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
03447
NC
3336C0002X
Clinic Pharmacy
34D0691493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07167
BCBS
NC
05
—
3404383
—
NC
Enumeration date
03/06/2007
Last updated
01/30/2014
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