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WAGRAM FAMILY PRACTICE
NPI 1891789970
Clinic/Center - Rural Health in Wagram, NC

Active since September 06, 2005CLIA 34D0655416 · Microscopy
24420 MARLBORO ST, WAGRAM, NC 28396(910) 369-3136(910) 369-4756 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Nov 3, 2021, Jul 27, 2021 (3 updates tracked since 2021).

About Wagram Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAGRAM FAMILY PRACTICE (NPI 1891789970) is a healthcare organization registered as a rural health in Wagram, North Carolina and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Lucien Stonge, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891789970
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSCOTLAND MEMORIAL HOSPITAL, INC
Location Address24420 MARLBORO STWagram, NC 28396-9600
Mailing Address24420 Marlboro StWagram, NC 28396-9600 · (910) 369-3136 · Fax (910) 369-4756
Phone(910) 369-3136
Fax(910) 369-4756
Organization SubpartNo
Authorized OfficialLucien StongeCfo · (910) 291-7547
Enumeration DateSeptember 6, 2005
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
✔ NPI 1891789970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
24420 MARLBORO ST, Wagram, NC 28396
Open in Google Maps ↗

Other Names 1

Doing Business AsWagram Family Practice

Other Identifiers 4

Other07171NC · Bcbs
Medicaid89018PZNC
Medicaid891261TNC
MedicaidNPB192SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0655416

Wagram Family Practice · Wagram, NC
Active · expires Aug 31, 2026
CLIA Number34D0655416
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMatthew T. Manzo
Laboratory Phone(910) 369-3136
Laboratory LocationWagram Family Practice24420 Marlboro Street, Wagram, NC 28396
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TANEKA M WILLIAMS M.D.
Family Medicine
24420 MARLBORO ST
WAGRAM, NC 28396
Scotland County (910) 369-3136
MS. TERRI RENO WEBER PA-C
Physician Assistant
24420 MARLBORO ST
WAGRAM, NC 28396
Scotland County (910) 369-3136
MS. MARY ANN TODD AGNP
Nurse Practitioner (Adult Health)
24420 MARLBORO ST
WAGRAM, NC 28396
Scotland County (910) 369-3136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scotland Memorial Hospital, Inc's NPI number?

The NPI number for Scotland Memorial Hospital, Inc is 1891789970. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Wagram Family Practice.

Where is Scotland Memorial Hospital, Inc located?

Scotland Memorial Hospital, Inc is located at 24420 Marlboro St, Wagram, NC 28396. The listed phone number is (910) 369-3136.

What is Scotland Memorial Hospital, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Scotland Memorial Hospital, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0655416) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Scotland Memorial Hospital, Inc accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 1 other insurer list Scotland Memorial Hospital, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scotland Memorial Hospital, Inc was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.