NPIMap

Organization Active NPI

Scotland Memorial Hospital, Inc

Doing business as Scotland Inpatient Rehabilitation

  • Rehabilitation Hospital Unit
  • Laurinburg, NC
National Provider Identifier
1902890742
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SCOTLAND MEMORIAL HOSPITAL, INC
Doing business as
Scotland Inpatient Rehabilitation
Practice address
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone
(910) 291-7000
Fax
(910) 291-7499
NPI assigned
Sep 8, 2005
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SCOTLAND INPATIENT REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NC Primary

Addresses

Primary practice location

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Mailing address

PO Box 604093
Charlotte, NC 28260-4093
Phone (910) 291-7171

Other identifiers 2

IdentifierTypeStateIssuer
3400008TMedicaidNC
259192MedicaidSC

Other names 1

  • SCOTLAND INPATIENT REHABILITATION Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000571 NC Part A Provider - Hospital 0648208504 Practice locations: Laurinburg, NC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902890742. Details of each certification follow.

Hospital certification: CCN 34T008

Legal name
SCOTLAND MEMORIAL HOSPITAL, INC
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 1947 in NC
Enrollment address
500 Lauchwood Dr
Laurinburg, NC 28352-5501
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Center for Inpatient RehabCCN 34T008 · All quality measures
Ownership
Non-profit
Certified
Oct 1, 2015

National Provider Directory

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

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 24

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

NameRoleSinceShare
Milton Farmer Individual Corporate Director Jan 1, 2009
Gregory Clark Wood Individual Contracted Managing EmployeeCeo Apr 1, 2009
Corporate OfficerCeo Jan 1, 1991
Matthew David Pracht Individual Contracted Managing EmployeeCfo Apr 1, 2009
Corporate OfficerCfo Jan 1, 1992
The Charlotte-Mecklenburg Hospital Authority Organization, Charlotte, NC Operational/Managerial Control Apr 1, 2009
David Harling Individual Corporate OfficerVice Chairman Dec 1, 2016
Corporate Director Jan 1, 2010
Jane Rogers Individual Corporate OfficerChairman Dec 1, 2016
Corporate Director Jan 1, 2010
Bradford Keith Faulkenberry Individual Corporate Director Jan 1, 2016
Tim Brooks Individual Corporate Director Dec 1, 2016
Kenneth Nichols Individual Corporate Director Jan 1, 2006
Amy Thompson Individual Corporate OfficerCorporate Secretary Dec 1, 2016
Michael Odonnell Individual Corporate Director Jan 1, 2009
Douglas Frank Nederostek Individual Corporate Director Jan 1, 2016
Ruth Bland Individual W-2 Managing EmployeeSr Director of Patient Financial SV Oct 26, 1987
Kyle Chavis Individual Corporate Director Jan 1, 2010
Stephen L Lanuti Individual Corporate Director Jan 1, 2014
Joshua Malcolm Individual Corporate Director Jan 1, 2011
Michael Vinson Individual Corporate Director Jan 1, 2007
Dennis Stone Individual Corporate Director Jan 1, 2015
Wilbur Gene Shytle Individual Corporate OfficerTreasurer Dec 1, 2016
Corporate Director Jan 1, 2013
Scotland Health Care System Organization, Laurinburg, NC Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2002 100%
John Ray Nobles Individual Corporate Director Jan 1, 2016
Robert N Hinson Individual Corporate Director Jan 1, 2014
Rebecca Hughes Individual Corporate Director Jan 1, 2014
Henry Allen McLaurin Individual Corporate Director Jan 1, 2013

Owners & managing parties with NPI records 10

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1902890742",
    "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": "910-291-7171",
            "fax_number": "910-291-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-291-7000",
            "fax_number": "910-291-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTLAND INPATIENT REHABILITATION",
        "enumeration_date": "2005-09-08",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "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": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3400008T",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259192",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTLAND INPATIENT REHABILITATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.