SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 1277 Chicken Foot Rd., Hope Mills, NC 28348-7525
Phone: 9102723051

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1013245117) 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) 1013245117
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name SOUTHEASTERN MEDICAL CLINIC GRAY'S CREEK
Practice Address 1277 Chicken Foot Rd.
Hope Mills
NC 28348-7525
Mailing Address 2600 N Elm St
Lumberton
NC 28358-3011
Practice Telephone 9102723051
Practice Fax Number 9107383764
Mailing Telephone 9102723051
Mailing Fax Number 9107383764
Enumeration Date 2009-12-01
Last Update Date 2009-12-04
Authorized Official Name DEAN RUTH (DIRECTOR)
Authorized Official Telephone 9107358874
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/Organization Names

Other Name Type Code
Southeastern Medical Clinic Gray's Creek 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
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
1013975812 Southeastern Regional Medical Center Counselor 4303 Ludgate St, Lumberton, NC 28358-2460 2006-05-02

Office Location

Street Address 1277 CHICKEN FOOT RD.
City HOPE MILLS
State NC
Zip Code 28348-7525

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982174553 Prime Healthcare Services Home Health 2336 John Mcmillan Rd, Hope Mills, NC 28348 2018-11-27
1033690110 Nanette Strang Counselor 5209 Cypress Glen Road, Hope Mills, NC 28348 2018-08-27
1356828438 Sandra Hunt Norton Counselor 7134 Eagle Spring Dr, Hope Mills, NC 28348 2018-07-23
1831695261 Helping Hands Home Adult Daycare In Home Supportive Care 6128 Arabello Road, Hope Mills, NC 28348 2018-04-04
1558879494 C & J Investments of Nc Pharmacy 3018 North Main Street, Hope Mills, NC 28348 2018-01-12
1851800122 Stanley Reed Williams Counselor 3516 Crosswinds Drive, Hope Mills, NC 28348 2017-09-29
1588104228 Erika Miller Physical Therapy Assistant 3264 Bluegrass Court, Hope Mills, NC 28348 2017-02-28
1083160709 Malea Boggs Behavioral Analyst 4110 Noonday Court, Hope Mills, NC 28348 2016-09-01
1003289976 Deneka Mcmillan Specialist 3441 North Main Street, Hopemills, NC 28348 2015-11-02
1023450764 Haymount Institute for Psychological Services, Pllc Counselor 3507 Hill St, Hope Mills, NC 28348 2013-07-23
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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
1952585739 Sandhills Family Care Clinic/Center 3441 N Main St, Ste D, Hope Mills, NC 28348-1802 2007-12-28

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City HOPE MILLS
Zip Code 28348

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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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