SOUTHEASTERN INTEGRATED CARE (NPI# 1326036138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326036138 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN INTEGRATED CARE |
| Other Organization Name | LUMBER RIVER FAMILY PRACTICE |
| Practice Address |
3005 N Elm St Lumberton NC 28358-2984 |
| Practice Telephone | 9107387789 |
| Practice Fax Number | 9107387599 |
| Mailing Telephone | 9107387789 |
| Mailing Fax Number | 9107387599 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | NIKKIA DAY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7044678799 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lumber River Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245681048 | Southeastern Integrated Care | Clinic/Center | 68 Three Hunts Dr Ste A, Pembroke, NC 28372-7319 | 2016-06-23 |
| Street Address |
3005 N ELM ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033752415 | Tara Rozier | Nurse Practitioner | 3005 N Elm St, Lumberton, NC 28358-2984 | 2019-10-18 |
| 1518955269 | Joseph Earl Roberts Jr. | Family Medicine | 3005 N Elm St, Lumberton, NC 28358-2984 | 2005-10-07 |
| 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 Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679995864 | America's Family Health Care | Clinic/Center | 3460 Capuano Road, Lumberton, NC 28358 | 2014-01-08 |
| 1477610228 | Ben Hardin, Md, Pa | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2007-01-02 |
| 1962941211 | Dermatherapy of Southeast Texas | Clinic/Center | 730 N Main St, Suite A, Lumberton, TX 77657-7355 | 2017-02-20 |
| 1235595927 | The Clinic At Walmart | Clinic/Center | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 | 2016-01-11 |
| 1881083962 | Southeastern Transition and Primary Care Clinic | Clinic/Center | 2901 N Elm St, Lumberton, NC 28358-2982 | 2015-01-13 |
| 1801037262 | Robeson County Health Department | Clinic/Center | 460 Country Club Rd, Lumberton, NC 28360-9494 | 2009-03-16 |
| 1427084755 | Gordon Family Medicine | Clinic/Center | 725 Oakridge Blvd, Suite A-1, Lumberton, NC 28358-2351 | 2006-06-26 |
| 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 |
| 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.