Southeastern Regional Medical Center, NPI 1710136981
Clinic/Center in Lumberton, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1710136981
NPI Entity Type Organization
Provider Name Southeastern Regional Medical Center
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 395 W 27th St, Lumberton, NC, US
Provider Mailing Address 2600 N Elm St, Lumberton, NC, US, 283583011
Is Sole Proprietor? No
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Organization Official

Official Name MR. Charles Thomas Johnson III
Official Position CFO
Phone 910-671-5090

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. H0064
License State NC
Description 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).

Other Organization Name

Southeastern Lumberton Medical Clinic
Doing Business As

Business Address

Southeastern Regional Medical Center
395 W 27th St

Lumberton, NC, US

Phone: 910-738-9755
Fax: 910-738-3764

Mailing Address

Southeastern Regional Medical Center
2600 N Elm St
Lumberton, NC, US
ZIP 283583011
Phone: 910-272-3051
Fax: 910-738-3764

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
5950386 NC MEDICAID 05
020VY NC BCBS 01

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