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DSH340008H SCOTLAND MEMORIAL HOSPITAL (Active)
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Main Details
Name
SCOTLAND MEMORIAL HOSPITAL
Subdivision Name
SCOTLAND MEMORIAL HOSPITAL - Marlboro Family Practice and Urgent Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340008H
Medicare Provider Number
340008
Outpatient Facility Provider Number
423461
Additional Details
Current Program Status
Active
Registration Date
8/7/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/24/2018
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
957 CHERAW ST
BENNETTSVILLE, SC 29512-2420
Billing Address
Marlboro Family Practice and Urgent Care
P.O. Box 2257
Laurinburg, NC 28353-2257
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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