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DSH340008E SCOTLAND MEMORIAL HOSPITAL (Active)
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Main Details
Name
SCOTLAND MEMORIAL HOSPITAL
Subdivision Name
SMH Pain Service / SMH Pain Service
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340008E
Medicare Provider Number
340008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Scotland Memorial Hospital
Beatrice M Holt, Senior Vice President Patient Care Services
(910) 291-7531
Primary Contact
Scotland Health Care System
Claire W Graham, Director of Pharmacy
(910) 291-7782
Addresses
Street Address
1600 Medical Drive
Laurinburg, NC 28352
Billing Address
Scotland Memorial Hospital
PO Box 1847
Laurinburg, NC 28353-1847
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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