Provider Demographics
NPI:1124134143
Name:SCOTLAND COUNTY RADIATION ONCOLOGY PA
Entity type:Organization
Organization Name:SCOTLAND COUNTY RADIATION ONCOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RADIATION ONCOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:L
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:910-291-7630
Mailing Address - Street 1:PO BOX 1182
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37088-1182
Mailing Address - Country:US
Mailing Address - Phone:615-449-9680
Mailing Address - Fax:615-449-9390
Practice Address - Street 1:500 E LAUCHWOOD DR
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-5501
Practice Address - Country:US
Practice Address - Phone:910-291-7630
Practice Address - Fax:910-291-7635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFH2030010OtherFIRST CAROLINA CARE
SCN00617Medicaid
NCP00042209OtherRAILROAD MEDICARE
NC89134WCMedicaid
NC134WCOtherBCBS NORTH CAROLINA
SCN00617Medicaid
SCN00617Medicaid