SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 705b Wesley Pines Rd, Lumberton, NC 28358-2105
Phone: 9107381191

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1215003215) 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) 1215003215
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name SOUTHEASTERN RECOVERY ALTERNATIVES
Practice Address 705b Wesley Pines Rd
Lumberton
NC 28358-2105
Mailing Address 300 W 27th St
Lumberton
NC 28358-3075
Practice Telephone 9107381191
Mailing Telephone 9106715000
Mailing Fax Number 9106715858
Enumeration Date 2006-11-28
Last Update Date 2012-03-15
Authorized Official Name MR. C. THOMAS JOHNSON III (V. P. FINANCE)
Authorized Official Telephone 9106715090
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
H0064 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6005521 05

Other Provider/Organization Names

Other Name Type Code
Southeastern Recovery Alternatives 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
1033396155 Southeastern Regional Medical Center Clinic/Center 9928 N. W.r. Lathan Street, Clarkton, NC 28433 2008-01-31
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
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 705B WESLEY PINES RD
City LUMBERTON
State NC
Zip Code 28358-2105

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649812397 Monarch Community/Behavioral Health 13128 Serenity Street, Huntersville, NC 28358 2019-10-15
1114577194 Lashonda Patrice Bostic Social Worker 4719 Fayetteville Road, Lumberton, NC 28358 2019-09-12
1780232389 Rosaline Whittington Technician 39 Sibley Road, Lumberton, NC 28358 2019-08-28
1790343168 Emily Graham Social Worker 401 S. 27th Street, Lumberton, NC 28358 2019-05-31
1316420722 Karen Lynn Warwick Nurse Practitioner 600 Farringdom St # Ab, Lumberton, NC 28358 2018-09-11
1982184149 Virginia Feldick Hampton Speech-Language Pathologist Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 2018-08-17
1366941882 Ashlynn Faircloth Mckeithan Occupational Therapist 210 Liberty Hill Road, Lumberton, NC 28358 2018-02-10
1992153506 Matthew Mercer Nurse Anesthetist, Certified Registered 2703 Riverwood Ave, Lumberton, NC 28358 2016-05-25
1295100964 Chosen Health Care Services Inc In Home Supportive Care 705b Wesley Pines Road, Lumberton, NC 28358 2015-12-07
1346626173 Brittany Renea Chavis Social Worker 888 Wire Grass Road, Lumberton, NC 28358 2015-08-04
Find all providers in zip 28358

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841763935 Ebone' Jane't Rouse Counselor 3460 Capuano Rd, Lumberton, NC 28358-3478 2019-01-10
1689114191 Neketa Floyd Counselor 3531 Lacky Street, Lumberton, NC 28360 2017-03-02
1205205739 Carla Monds Counselor 901 N Chestnut St, Lumberton, NC 28358-4853 2015-09-15
1447641758 Stephanie Sanderson Counselor 448 Saddletree Rd, Lumberton, NC 28360-9301 2015-02-09
1245634450 Yvonne Handy Counselor 392 Hearty Rd, Lumberton, NC 28358-8602 2014-10-17
1649601824 Sherri Annette Wood Counselor 6005 Crockett, Lumberton, Lumberton, TX 77657-6703 2013-12-12
1346586971 Kevin Eugene Graham Counselor 117 Charles St, Lumberton, NC 28358-4538 2012-12-31
1679837405 Yolanda N Lewis Counselor 2003 Godwin Ave Ste A, Lumberton, NC 28358-3150 2012-06-26
1558688317 Jessica Mceachern Counselor 288 Deer Stand Dr, Lumberton, NC 28358-8345 2010-05-03
1194995472 Shirley Ann Williams Counselor 3750 Meadowview Road Apt A-1, Lumberton, NC 28358 2008-03-03
Find all providers in LUMBERTON

Competitor

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City LUMBERTON
Zip Code 28358

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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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