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DSH340008K SCOTLAND MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
SCOTLAND MEMORIAL HOSPITAL
Subdivision Name
Wolonick Family Practice Center - Wolonick Family Practice Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH340008K
Medicare Provider Number
340008
Outpatient Facility Provider Number
343466
Additional Details
Current Program Status
Terminated
Registration Date
4/3/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/9/2019
Last Recertification Date
8/17/2023
Termination Date
Termination Reason
10/1/2024
Site closure
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
106 Mcalpine Lane
Laurinburg, NC 28352
Billing Address
Scotland Memorial Hospital
PO Box 2257
Laurinburg, NC 28353-2257
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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