SOUTHEASTERN REGIONAL PHYSICIAN SERVICES (NPI# 1477780476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477780476 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
Other Organization Name | SOUTHEASTERN HEALTH CENTER CLARKTON |
Practice Address |
9928 N. W. R. Lathan St. Clarkton NC 28433 |
Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
Practice Telephone | 9106471503 |
Practice Fax Number | 9107383764 |
Mailing Telephone | 9102723051 |
Mailing Fax Number | 9107373764 |
Enumeration Date | 2009-06-17 |
Last Update Date | 2009-06-17 |
Authorized Official Name | 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 |
Other Name | Type Code |
---|---|
Southeastern Health Center Clarkton | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
1861829681 | Southeastern Regional Physician Services | Clinic/Center | 105 W 27th St, Lumberton, NC 28358-3014 | 2013-10-11 |
1407281082 | Southeastern Regional Physician Services | Clinic/Center | 4901 Dawn Dr Ste 3300, Lumberton, NC 28360-8288 | 2013-09-13 |
1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
1336797349 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 4901 Dawn Dr Ste 1200, Lumberton, NC 28360-0004 | 2019-09-03 |
1851950562 | Southeastern Regional Physician Services | Clinic/Center | 117 E Main St, Whiteville, NC 28472-4131 | 2019-06-07 |
1487113668 | Southeastern Regional Physician Services | Clinic/Center | 217 W Broad St, Saint Pauls, NC 28384-1533 | 2019-03-18 |
1699266742 | Southeastern Regional Physician Services | Internal Medicine | 1200 Pine Run Dr, Lumberton, NC 28358-2180 | 2018-05-24 |
1831687912 | Southeastern Regional Physician Services | Obstetrics & Gynecology | 800 Oakridge Blvd, Lumberton, NC 28358-2330 | 2018-04-25 |
Street Address |
9928 N. W. R. LATHAN ST. |
City | CLARKTON |
State | NC |
Zip Code | 28433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952323321 | Sharon G. Baxley | Nurse Practitioner | 9928 N. W. R. Lathan St., Clarkton, NC 28433-0095 | 2006-07-24 |
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 |
1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
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 |
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 |
---|---|---|---|---|
1033396155 | Southeastern Regional Medical Center | Clinic/Center | 9928 N. W.r. Lathan Street, Clarkton, NC 28433 | 2008-01-31 |
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.