SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1033396155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033396155 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
Other Organization Name | SOUTHEASTERN HEALTH CENTER CLARKTON |
Practice Address |
9928 N. W.r. Lathan Street Clarkton NC 28433 |
Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
Practice Telephone | 9102723051 |
Practice Fax Number | 9107383764 |
Mailing Telephone | 9102723051 |
Mailing Fax Number | 9107383764 |
Enumeration Date | 2008-01-31 |
Last Update Date | 2009-01-27 |
Authorized Official Name | MR. CHARLES T. JOHNSON III (CFO) |
Authorized Official Telephone | 9106715090 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | H0064 | NC | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 020EH | 01 |
NC | 5908813 | 05 |
Other Name | Type Code |
---|---|
Southeastern Health Center Clarkton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063779114 | Southeastern Regional Medical Center | Clinic/Center | 2934 N. El M St., Suite B, Lumberton, NC 28358-2981 | 2012-04-13 |
1821361346 | Southeastern Regional Medical Center | Pharmacy | 2934 North Elm St, Suite C, Lumberton, NC 28358 | 2012-02-14 |
1013245117 | Southeastern Regional Medical Center | Clinic/Center | 1277 Chicken Foot Rd., Hope Mills, NC 28348-7525 | 2009-12-01 |
1871735019 | Southeastern Regional Medical Center | Hearing Aid Equipment | 584 Farringdom St, Lumberton, NC 28358-2615 | 2009-04-02 |
1780831776 | Southeastern Regional Medical Center | Health Maintenance Organization | 103 W 27th St, Lumberton, NC 28358-3014 | 2008-08-21 |
1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
1649499278 | Southeastern Regional Medical Center | Substance Abuse Rehabilitation Facility | 107 Dallas Ave, Red Springs, NC 28377-1849 | 2007-04-24 |
1215003215 | Southeastern Regional Medical Center | Counselor | 705b Wesley Pines Rd, Lumberton, NC 28358-2105 | 2006-11-28 |
1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
1013975812 | Southeastern Regional Medical Center | Counselor | 4303 Ludgate St, Lumberton, NC 28358-2460 | 2006-05-02 |
Street Address |
9928 N. W.R. LATHAN STREET |
City | CLARKTON |
State | NC |
Zip Code | 28433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003416496 | Healing Heartsnc | Home Health | 1364 Hwy 211 West, Clarkton, NC 28433 | 2020-10-27 |
1699249748 | Steven Jernigan | Nurse Practitioner | 9858 North W. R. Latham Street, Clarkton, NC 28433 | 2019-01-11 |
1972866804 | Assisted Greatness | Assisted Living Facility | 53 South Smith St, Clarkton, NC 28433 | 2012-06-15 |
1093006959 | Rha Health Services Nc, LLC | Community/Behavioral Health | 88 East Green Street, Clarkton, NC 28433 | 2011-04-27 |
1548381551 | Bladen Medical Associates | Physician Assistant | 88 East Greene Street, Clarkton, NC 28433 | 2007-04-03 |
1427114420 | Cape Fear Manor | Custodial Care Facility | 53 S. Smith St., Clarkton, NC 28433 | 2006-12-28 |
1265595813 | Family Alternatives | Community/Behavioral Health | 88 E. Green Street, Clarkton, NC 28433 | 2006-12-18 |
1497832471 | Community Innovations, Inc. 53 | Intermediate Care Facility, Mentally Retarded | 68 Mitchell Ford Road, Clarkton, NC 28433 | 2006-11-01 |
1356427330 | Community Innovations, Inc. 51 | Intermediate Care Facility, Mentally Retarded | 369 Hwy 211 S., Clarkton, NC 28433 | 2006-10-31 |
1811071269 | John M Hall | Dentist | 160 W Green St, Clarkton, NC 28433 | 2006-10-24 |
Find all providers in zip 28433 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477780476 | Southeastern Regional Physician Services | Clinic/Center | 9928 N. W. R. Lathan St., Clarkton, NC 28433 | 2009-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649871807 | Little Beam Rehabilitation Services | Clinic/Center | 1745 Us Highway 64 W, Plymouth, NC 27962-9325 | 2020-11-04 |
1962000828 | Flash Rsn Family and Urgent Care, Pllc | Clinic/Center | 316 Summerwalk Rd, Greensboro, NC 27455-1556 | 2020-10-13 |
1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
1568088672 | Whole Life Chiropractic PC | Clinic/Center | 5410 Page Rd Ste 3, Durham, NC 27703-8230 | 2020-06-24 |
1487270674 | Fall Forward Wellness Center | Clinic/Center | 12709 Caldwell Rd, Charlotte, NC 28213-3811 | 2020-06-23 |
1710510482 | Tailored Telehealth | Clinic/Center | 218 Westover Dr, Asheville, NC 28801-1638 | 2020-02-20 |
1114567930 | Metroview Healthcare Solutions Inc | Clinic/Center | 301 E John St Ste 2501, Matthews, NC 28105-4837 | 2020-01-09 |
1174160923 | Newell Health | Clinic/Center | 10208 Cerny St Ste 308, Raleigh, NC 27617-7885 | 2019-11-27 |
1871138644 | Ourhealth Physicians Group, LLC | Clinic/Center | 2335 Matthews Township Pkwy Ste 101, Matthews, NC 28105-2403 | 2019-11-15 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.