MAXTON FAMILY PRACTICE CENTER – NPI #1417941352
Clinic/Center

MAXTON FAMILY PRACTICE CENTER is an AHC clinic located in MAXTON, NC. NPPES has assigned the NPI number 1417941352 to MAXTON FAMILY PRACTICE CENTER on September 07, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAXTON FAMILY PRACTICE CENTER” is a dba name, the actual legal business name for this organization is SCOTLAND MEMORIAL HOSPITAL, INC. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 4 years ago on Sep 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAXTON FAMILY PRACTICE CENTER below.

NPI Profile for
SCOTLAND MEMORIAL HOSPITAL, INC

NPI Number
1417941352
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SCOTLAND MEMORIAL HOSPITAL, INC
Doing Business As (dba): MAXTON FAMILY PRACTICE CENTER
Primary location
1001 W. MARTIN LUTHER KING JR. DR.
MAXTON, NC 28364
Phone: (910) 844-4077 Fax: (910) 844-5840
Mailing address
PO BOX 604093
CHARLOTTE, NC 28260-4093
Phone: (910) 291-7000 Fax: (910) 844-5840
Organization Subpart
No
Authorized Official
LUCIEN STONGE
CFO
Phone: (910) 291-7547
Updated
Certification Date
Sep 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MAXTON FAMILY PRACTICE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBCBSNC0262L
medicaidNC34-3987
medicaidSCNPA922
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)		 NC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.