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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 315D00000X | Hospice, Inpatient | H0064 | NC | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 5950730 | 05 |
Other Name | Type Code |
---|---|
SRMC-Hospice Professional Services | 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 |
1100 PINE RUN DR |
City | LUMBERTON |
State | NC |
Zip Code | 28358-2118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
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 Code | 315D00000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Hospice, Inpatient |
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. |
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 |
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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.