SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324
Phone: 9102723051

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1932389582) 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) 1932389582
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name SOUTHEASTERN DIGESTIVE HEALTH CENTER
Practice Address 730 Oakridge Blvd Ste A
Lumberton
NC 28358-2324
Mailing Address 2600 N Elm St
Lumberton
NC 28358-3011
Practice Telephone 9102723051
Practice Fax Number 9107383764
Mailing Telephone 9102723051
Enumeration Date 2007-11-13
Last Update Date 2009-01-27
Authorized Official Name 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 5907836 05
NC BCBS 019V5 01

Other Provider/Organization Names

Other Name Type Code
Southeastern Digestive Health Center 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
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 730 OAKRIDGE BLVD STE A
City LUMBERTON
State NC
Zip Code 28358-2324

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 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
1043680630 Southeastern Regional Physician Services Clinic/Center 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 2015-09-25
1093960262 Hamilton Therapeutic Services, L.l.c Clinic/Center 3501 Fayetteville Rd, Lumberton, NC 28358-2709 2008-12-01
1639190242 Southeastern Regional Medical Center Clinic/Center 1100 Pine Run Dr, Lumberton, NC 28358-2118 2006-07-21
1407843014 Southeastern Eye Care, Pa Clinic/Center 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 2005-09-29
1780202093 Southeastern Regional Physician Services Clinic/Center 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 2020-07-13
1376065854 Southeastern Regional Physician Services Clinic/Center 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 2017-07-17
1013453265 Tad Group LLC Clinic/Center 1233 S Main St, Lumberton, TX 77657-7390 2017-01-12
1720434525 Southeastern Health Physician Services Clinic/Center 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 2016-05-11
1255790507 Southeastern Regional Physician Services Clinic/Center 4307 Fayetteville Rd, Lumberton, NC 28358-2676 2016-02-15
1831425719 Southeastern Regional Medical Center Clinic/Center 815 Oakridge Blvd, Lumberton, NC 28358-2330 2009-10-27
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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