SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 9928 N. W.r. Lathan Street, Clarkton, NC 28433
Phone: 9102723051

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center H0064 NC Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS 020EH 01
NC 5908813 05

Other Provider/Organization Names

Other Name Type Code
Southeastern Health Center Clarkton Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 9928 N. W.R. LATHAN STREET
City CLARKTON
State NC
Zip Code 28433

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477780476 Southeastern Regional Physician Services Clinic/Center 9928 N. W. R. Lathan St., Clarkton, NC 28433 2009-06-17

Providers in the same taxonomy and state

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
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Competitor

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City CLARKTON
Zip Code 28433

Improve Information

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Dataset Information

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.

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