Organization
SCOTLAND MEMORIAL HOSPITAL INC
Active
Other names
Pembroke Family Practice and Urgent Care, PEMBROKE FAMILY PRACTICE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIEN STONGE (CFO)
(910) 291-7547
Entity
Organization
Contact information
Practice address
412 S. JONES ST., PEMBROKE, NC 28372
(910) 521-4462
(910) 521-7739
Mailing address
PO BOX 604093, CHARLOTTE, NC 28260-4093
(910) 291-7000
(910) 521-7739
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01512
BCBS
NC
05
—
34-3982
—
NC
01
—
DE7674
RAILROAD MEDICARE
NC
Enumeration date
09/07/2005
Last updated
09/22/2022
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