SOUTHEASTERN INTEGRATED CARE


Address: 68 Three Hunts Dr Ste A, Pembroke, NC 28372-7319
Phone: 9105220408

SOUTHEASTERN INTEGRATED CARE (NPI# 1245681048) 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) 1245681048
Entity Type Organization
Organization Name SOUTHEASTERN INTEGRATED CARE
Practice Address 68 Three Hunts Dr Ste A
Pembroke
NC 28372-7319
Practice Telephone 9105220408
Practice Fax Number 7049319199
Mailing Telephone 9105220408
Mailing Fax Number 7049319199
Enumeration Date 2016-06-23
Last Update Date 2017-02-17
Authorized Official Name MR. DANIEL Z. MORMAN (CEO)
Authorized Official Telephone 7042941075
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
NC Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326036138 Southeastern Integrated Care Clinic/Center 3005 N Elm St, Lumberton, NC 28358-2984 2005-10-06

Office Location

Street Address 68 THREE HUNTS DR STE A
City PEMBROKE
State NC
Zip Code 28372-7319

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558962977 Kayla J Oxendine Counselor 86 Threehunts Drive, Pembroke, NC 28372 2020-11-03
1720688401 Melissa Claire Kratz Pharmacist 930 Hwy 711 East, Pembroke, NC 28372 2020-10-30
1841775681 Nikki Locklear Counselor 86 Three Hunts Dr., Pembroke, NC 28372 2018-09-27
1043703218 Julie Anne Harrison-swartz Nurse Practitioner Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 2018-06-12
1134627508 William Dixon Specialist/Technologist One University Drive, Pembroke, NC 28372 2018-01-31
1740796291 A Primary Choice, Inc. In Home Supportive Care 208 Union Chapel Road, Suite D, Pembroke, NC 28372 2017-12-20
1578924130 William Joshua Johnson Nurse Practitioner 3334 Moss Neck Road, Pembroke, NC 28372 2016-03-10
1831560234 Sungjun Jung Pharmacist 930 Nc Hwy 711 E, Pembroke, NC 28372 2015-10-12
1154715027 Lilly Marie Shorter Counselor 86 Three Hunt Drive, Pembroke, NC 28372 2015-03-27
1487046728 Eye Heart You Home Health, LLC Public Health or Welfare 925 University Road, Pembroke, NC 28372 2015-02-24
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164672515 Angel Family Practice Clinic/Center 201 East Livermore Drive, Pembroke, NC 28372 2008-09-23
1346270642 West Primary-urgent Care, Pllc Clinic/Center 923 W 3rd St, Pembroke, NC 28372-9684 2006-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851907604 Primary Care of North Carolina Inc Clinic/Center 3500 Stonehaven Dr, Charlotte, NC 28215-3232 2020-09-17
1871119818 Mymd Personal Family Care, Pllc Clinic/Center 110 W Wood Hill Dr Unit 108, Nags Head, NC 27959-9394 2020-06-24
1164042412 Hometown Direct Primary Care Pllc Clinic/Center 332 N Brightleaf Blvd Ste C, Smithfield, NC 27577-4604 2020-04-16
1528619293 Careatc Clinic/Center 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 2019-09-24
1568021160 Brighter Pathway To Healthcare Clinic/Center 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 2019-06-07
1467931584 Healthworks Med Group of North Carolina P C Clinic/Center 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 2018-08-09
1598257750 Balsam Health of The Carolinas, Pllc Clinic/Center 607 W Grover St Ste 101, Shelby, NC 28150-2816 2018-06-04
1932607595 Charlotte Proactive Md PC Clinic/Center 11220 Golf Links Drive North, Charlotte, NC 28277 2018-01-30
1194233403 Futuremed Evening Clinic Pllc Clinic/Center 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 2018-01-21
1356852511 Grace Clinic of Yadkin Valley Clinic/Center 948 Johnson Ridge Rd, Elkin, NC 28621-0948 2017-10-16
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Competitor

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City PEMBROKE
Zip Code 28372

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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