NPIMap

Organization Active NPI

Scotland Memorial Hospital, Inc

Doing business as Harris Family Practice

  • Rural Health Clinic/Center
  • Laurinburg, NC
National Provider Identifier
1417498403
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SCOTLAND MEMORIAL HOSPITAL, INC
Doing business as
Harris Family Practice
Laurinburg Family Practice and Urgent Care
Practice address
101 Plaza Rd
Laurinburg, NC 28352-6001
Phone
(910) 276-6767
Fax
(910) 276-7877
NPI assigned
Mar 10, 2017
Last updated
Feb 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucien Stonge
Title
Cfo
Phone
(910) 291-7547

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

101 Plaza Rd
Laurinburg, NC 28352-6001

Mailing address

PO Box 604093
Charlotte, NC 28260-4093
Phone (910) 291-7000

Other practice location 1

700A Progress Pl
Laurinburg, NC 28352-5545
Phone (910) 276-6767

Other names 2

  • Harris Family Practice Doing business as
  • Laurinburg Family Practice and Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170524000134 NC Part A Provider - Rural Health Clinic 0648208504 Practice locations: Laurinburg, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417498403. Details of each certification follow.

Rural health clinic certification: CCN 343467

Legal name
SCOTLAND MEMORIAL HOSPITAL, INC
Doing business as
LAURINBURG FAMILY PRACTICE AND URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 14, 2018
Last certification
Mar 14, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1947 in NC
Enrollment address
101 Plaza Rd
Laurinburg, NC 28352-6001
Related CCNs
340008

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0874621Laurinburg Family Practice and Urgent Care101 Plaza Rd, Laurinburg, NC 28352Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory
Tax ID family
Scotland Mem Prof Serv27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lucien B St.Onge Individual Corporate Director Oct 1, 2021
Lee Ann Walker Individual W-2 Managing EmployeeCorporate Secretary Oct 1, 2023
Jessica B Scott Individual Corporate Director Oct 1, 2019
Ravonda Sue John Individual Corporate Director Oct 1, 2020
Christopher M Ward Individual Corporate Director Oct 1, 2019
Bryan Kennedy Maynor Individual Corporate Director Oct 1, 2022
Jennifer I Rhue Individual Corporate Director Oct 1, 2022
John a Ferguson Individual Corporate Director Oct 1, 2021
James Roy McCook Individual Corporate Director Oct 1, 2021
Bradley Williams Individual Corporate Officer Oct 1, 2019
Elizabeth Rogers Munnerlyn Individual Corporate Director Oct 1, 2022
Crystal L Locklear Individual W-2 Managing Employee Feb 1, 2023
Hampton Howard Hubbard Individual Corporate Director Oct 1, 2021
John Allen McLaurin Individual Corporate Director Oct 1, 2022
Scotland Health Care System Organization, Laurinburg, NC Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2017 100%
David Lewis Pope Individual Corporate Director Oct 1, 2023
Scott B Andrews Individual Corporate Director Oct 1, 2019
Ralph E Carter Individual Corporate Director Oct 1, 2021
Sybil J Bullard Individual Corporate Director Oct 1, 2019
Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Operational/Managerial Control Apr 1, 2009
Glenn Ray Harris Individual Corporate Director Oct 1, 2018
David Salzlein Individual W-2 Managing Employee Oct 1, 2022

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marlboro Family Practice and Urgent CareBennettsville, SC, CCN 423461 Rural health clinic Operational/Managerial Control Dec 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1417498403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604093",
            "telephone_number": "910-291-7000",
            "fax_number": "910-276-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA RD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283526001",
            "telephone_number": "910-276-6767",
            "fax_number": "910-276-7877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700A Progress Pl",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525545",
            "country_code": "US",
            "telephone_number": "910-276-6767",
            "fax_number": "910-276-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCOTLAND MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "STONGE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-291-7547"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laurinburg Family Practice and Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.