SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 1100 Pine Run Dr, Lumberton, NC 28358-2118
Phone: 9106711488

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1215173331) 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) 1215173331
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name SRMC-HOSPICE PROFESSIONAL SERVICES
Practice Address 1100 Pine Run Dr
Lumberton
NC 28358-2118
Mailing Address 2600 N Elm St
Lumberton
NC 28358-3011
Practice Telephone 9106711488
Practice Fax Number 9107383764
Mailing Telephone 9102723051
Mailing Fax Number 9107383764
Enumeration Date 2008-12-18
Last Update Date 2009-04-21
Authorized Official Name CHARLES T. JOHNSON III (CFO)
Authorized Official Telephone 91067155090
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315D00000X Hospice, Inpatient H0064 NC Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 5950730 05

Other Provider/Organization Names

Other Name Type Code
SRMC-Hospice Professional Services 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
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

Office Location

Street Address 1100 PINE RUN DR
City LUMBERTON
State NC
Zip Code 28358-2118

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639190242 Southeastern Regional Medical Center Clinic/Center 1100 Pine Run Dr, Lumberton, NC 28358-2118 2006-07-21

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 315D00000X
Grouping Nursing & Custodial Care Facilities
Classification Hospice, Inpatient

Taxonomy Definition

A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
Notes: Source: AHA Guide, American Hospital Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386036473 Pruitthealth Hospice, Inc. Hospice, Inpatient 2944 Breezewood Avenue, Suite 102, Fayetteville, NC 28303-5415 2015-02-26
1568704617 Home Heahth Care and Hospice Hospice, Inpatient 107 Handley Park Ct, Goldsboro, NC 27534-1768 2013-03-26
1033153606 Johnston Health Services Corporation Hospice, Inpatient 426 Hospital Rd, Smithfield, NC 27577 2006-06-15
1750329116 Pruitthealth Hospice, Inc. Hospice, Inpatient 810 Kennedy Avenue, New Bern, NC 28560 2006-06-04
1679520555 Karc Enterprises Hospice, Inpatient 121 E 2nd St, Washington, NC 27889-4920 2006-05-27
1417429002 Carepartners Hha, Lllp Hospice, Inpatient 68 Sweeten Creek Rd, Asheville, NC 28803-2318 2018-12-20
1497797088 Rex Hospital Inc. Hospice, Inpatient 4420 Lake Boone Trl, Raleigh, NC 27607-7505 2006-06-11

Competitor

Search similar providers

City LUMBERTON
Zip Code 28358

Improve Information

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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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