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DSH340008G SCOTLAND MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
SCOTLAND MEMORIAL HOSPITAL
Subdivision Name
SMH Infusion Service / SMH Infusion Service
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340008G
Medicare Provider Number
340008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/4/2014
Last Recertification Date
Termination Date
Termination Reason
7/1/2015
DSH percentage below statutory minimum
Contacts
Authorizing Official
Scotland Health Care System
David L Pope, Senior Vice President, Operations
(910) 291-7502
Primary Contact
GREG WOOD, PRESIDENT AND CEO
(910) 291-7000 Ext: 7501
Addresses
Street Address
500 lauchwood Drive
Laurinburg, NC 28352-5501
Billing Address
Scotland Memorial Hospital Inc
PO Box 1847
Laurinburg, NC 28353-1847
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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