Active NPI
Scotland County
- State or Local Public Health Clinic/Center
- Laurinburg, NC
National Provider Identifier
1427188176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- State or Local Public Health Clinic/Center
- Legal business name
- SCOTLAND COUNTY
- Practice address
- 1405 West Blvd
Laurinburg, NC 28352-9170 - Phone
- (910) 277-2440
- Fax
- (910) 277-2450
- NPI assigned
- Mar 6, 2007
- Last updated
- Jan 30, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Glenn David Jenkins, M.P.A.
- Title
- Health Director
- Phone
- (910) 277-2440
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Community Health Clinic/Center | 261QC1500X | NU | ||
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | NU | ||
| Medical Specialty Clinic/Center | 261QM2500X | NU | ||
| State or Local Public Health Clinic/Center | 261QP0905X | NU | Primary | |
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Clinical Medical Laboratory | 291U00000X | 03447 | NC | |
| Clinic Pharmacy | 3336C0002X | 34D0691493 | NC |
Addresses
Primary practice location
1405 West Blvd
Laurinburg, NC 28352-9170
Mailing address
PO Box 69
Laurinburg, NC 28353-0069
Phone (910) 277-2440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07167 | Other | NC | BCBS |
| 3404383 | Medicaid | NC |
Other names 1
- Scotland County Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090512000672 | NC | Part B Supplier - Clinic/Group Practice | 5193874634 |
Receives reassigned benefits from 7 practitioners Practice locations: Laurinburg, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
1405 West Blvd
Laurinburg, NC 28352
Phone (910) 277-2440
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Adult Health Nurse Practitioner
- Raleigh, NC
- NPI 1740723063
-
- Family Medicine Physician
- Laurinburg, NC
- NPI 1497917298
-
- Family Nurse Practitioner
- Laurinburg, NC
- NPI 1184117459
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1306192109
-
- Family Medicine Physician
- Laurinburg, NC
- NPI 1194729830
-
- Physician Assistant
- Laurinburg, NC
- NPI 1861700809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391040000000",
"number": "1427188176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283530069",
"telephone_number": "910-277-2440",
"fax_number": "910-277-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 WEST BLVD",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283529170",
"telephone_number": "910-277-2440",
"fax_number": "910-277-2450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTLAND COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2014-01-30",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "HEALTH DIRECTOR",
"authorized_official_telephone_number": "910-277-2440",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.P.A."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP0905X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, State or Local",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NC",
"license": "03447",
"primary": false
},
{
"code": "3336C0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Clinic Pharmacy",
"state": "NC",
"license": "34D0691493",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "07167",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404383",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Scotland County Health Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Laurinburg, NC
- Noran Rohrig Sanford
- Lacey Sanguinito, OTD, OTR/L
- Saving Grace Home Care, LLC
- Scotland Apothecary Inc (Scotland Drug Company)
- Scotland Cardiology PA
- Scotland County (Scotland County Health Department - Flu/Pneu)
- Scotland County Adult Day Services
- Scotland County Area Transit System (Scats)
- Scotland County Area Transit System
- Scotland County Dept of Social Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.