SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1972595601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972595601 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Other Organization Name | JOHNSON MEDICAL CLINIC |
| Practice Address |
222 S Main St Red Springs NC 28377-1622 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9108434576 |
| Practice Fax Number | 9108432301 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-01-27 |
| Authorized Official Name | CHARLES THOMAS JOHNSON III (CFO) |
| Authorized Official Telephone | 9106715090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H0064 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 343415A | 05 | |
| NC | 343415C | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 0185K | 01 |
| Other Name | Type Code |
|---|---|
| Johnson Medical Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
222 S MAIN ST |
| City | RED SPRINGS |
| State | NC |
| Zip Code | 28377-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205063146 | Southeastern Regional Physician Services | Clinic/Center | 222 S Main St, Red Springs, NC 28377-1622 | 2009-06-18 |
| 1417191941 | Southeastern Regional Medical Center | Obstetrics & Gynecology | 222 S Main St, Red Springs, NC 28377-1622 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432289 | Caring Hand Transportation Company LLC | Non-emergency Medical Transport (VAN) | 551 North Mcphatter Road, Red Springs, NC 28377 | 2020-03-18 |
| 1629614946 | Sally J. Jacobs | Technician | 401 Ashford Rd., Red Springs, NC 28377 | 2019-11-21 |
| 1770133910 | Native Angels Total Property Management, LLC | Home Health | 11395 Hwy 211 W, Red Springs, NC 28377 | 2019-09-19 |
| 1073962718 | Red Springs Old Main, Inc | Pharmacy | 300 S. Main Street, Red Srpings, NC 28377 | 2016-06-03 |
| 1174977094 | Christopher Chapman | Specialist/Technologist | 509 North Vance Street, Red Springs, NC 28377 | 2016-04-17 |
| 1396066379 | T & L Empowerment, Inc. | Community/Behavioral Health | 110 W. 2nd Ave, Red Springs, NC 28377 | 2010-06-14 |
| 1124275201 | First Choice Comfort Care Agency | Home Health | 105 Lowery Rd, Red Springs, NC 28377 | 2008-08-20 |
| 1902076052 | Carol C Jones | Religious Nonmedical Nursing Personnel | 3553 South Duffie Road, Red Springs, NC 28377 | 2008-03-05 |
| 1205044799 | Cheryl R Locklear | Dentist | 239 S. Main Street, Red Springs, NC 28377 | 2007-05-18 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| Find all providers in zip 28377 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396771564 | Red Springs Family Medicine Clinic, Pa | Clinic/Center | 229 S Main St, Red Springs, NC 28377-1621 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689209553 | Murphy Medical Center Inc | Clinic/Center | 125 Medical Park Ln Ste H, Murphy, NC 28906-6921 | 2020-03-11 |
| 1528623725 | Cynthia Mcarthur-kearney | Clinic/Center | 531 Hillsboro St, Fayetteville, NC 28301-4634 | 2019-05-03 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1043759335 | Bladen Healthcare LLC | Clinic/Center | 88 E Green St., Clarkton, NC 28433-5002 | 2017-02-20 |
| 1114269677 | Bladen Healthcare LLC | Clinic/Center | 107e Dunham St, Elizabethtown, NC 28337-9037 | 2013-03-22 |
| 1699062802 | Cah Acquisition Company 1 LLC | Clinic/Center | 9500 Nc Highway 94 North, Creswell, NC 27928-8808 | 2011-07-08 |
| 1912294687 | Pioneer Health Services of Stokes County, Inc. | Clinic/Center | 1020 Hospice Drive, Danbury, NC 27016-0000 | 2011-07-01 |
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1427282045 | Southeastern Regional Physician Services | Clinic/Center | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2009-05-11 |
| 1578702189 | Appalachian Healthcare, Inc. | Clinic/Center | 9330 Highway 194, Lansing, NC 28643-0184 | 2009-02-05 |
| Find all providers with the same taxonomy | ||||
| City | RED SPRINGS |
| Zip Code | 28377 |
Please comment or provide details below to improve the information on SOUTHEASTERN REGIONAL MEDICAL CENTER.
| 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.