SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1215289038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215289038 |
Entity Type | Organization |
Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
Other Organization Name | SOUTHEASTERN RADIOLOGY ASSOCIATES |
Practice Address |
209 W 27th St Lumberton NC 28358-3016 |
Mailing Address |
300 W 27th St Lumberton NC 28358-3075 |
Practice Telephone | 9107388222 |
Practice Fax Number | 9106710846 |
Mailing Telephone | 9107388222 |
Mailing Fax Number | 9106718512 |
Enumeration Date | 2012-10-03 |
Last Update Date | 2016-08-02 |
Authorized Official Name | MR. CHARLES T. JOHNSON III (DIRECTOR) |
Authorized Official Telephone | 9106715090 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | STATE LICENSE | H0064 | 01 |
Other Name | Type Code |
---|---|
Southeastern Radiology Associates | 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 |
209 W 27TH ST |
City | LUMBERTON |
State | NC |
Zip Code | 28358-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932278876 | Charles Edwin Huggins | Physician Assistant | 209 W 27th St, Lumberton, NC 28358-3016 | 2006-11-07 |
1386044147 | Southeastern Regional Medical Center | Clinic/Center | 209 W 27th St, Lumberton, NC 28358-3016 | 2014-08-29 |
1558798348 | Southeastern Regional Physician Services | Clinic/Center | 209 W 27th St, Lumberton, NC 28358-3016 | 2013-10-11 |
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 | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386044147 | Southeastern Regional Medical Center | Clinic/Center | 209 W 27th St, Lumberton, NC 28358-3016 | 2014-08-29 |
1558798348 | Southeastern Regional Physician Services | Clinic/Center | 209 W 27th St, Lumberton, NC 28358-3016 | 2013-10-11 |
1841283751 | Lumberton Radiological Associates, Pa | Clinic/Center | 209 West 27th Street, Lumberton, NC 28358-3016 | 2005-08-25 |
1659364727 | Lumberton Radiological Associates, Pa | Clinic/Center | 209 West 27th Street, Lumberton, NC 28358-3016 | 2005-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306344577 | Union Medical Services, LLC | Clinic/Center | 103 Stanly Pkwy Ste E, Locust, NC 28097-7711 | 2018-01-23 |
1417298134 | Columbus Regional Diagnostics | Clinic/Center | 619 Jefferson St., Ste. 2, Whiteville, NC 28472-3707 | 2013-03-05 |
1043593395 | Waccamaw Ultrasound & Diagnostics | Clinic/Center | 112 E White Oak St, Lake Waccamaw, NC 28450-2128 | 2011-09-22 |
1912192006 | Advanced Imaging, Inc. | Clinic/Center | 406 Thompson St, Eden, NC 27288-5044 | 2007-09-11 |
1124123104 | Sonography Services Inc | Clinic/Center | 125 Wamsutta Mill Rd, Suite B, Morganton, NC 28655-5522 | 2006-09-14 |
1164527149 | Sonocare, LLC | Clinic/Center | 125 B Wamsutta Mill Rd., Morganton, NC 28655 | 2006-09-14 |
1447290010 | Coastal Carolina Health Care Pa | Clinic/Center | 1030 Medical Park Ave, New Bern, NC 28562-5248 | 2006-06-08 |
1588611677 | Sunset Imaging, LLC | Clinic/Center | 850 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2006-05-27 |
1740231984 | Foundation Health Systems Corp | Clinic/Center | 1701 S Hawthorne Rd, Winston-salem, NC 27103-4015 | 2006-05-12 |
1881239093 | Southeast Radiology Associates Pllc | Clinic/Center | 10926 David Taylor Dr Ste 120, Charlotte, NC 28262-1042 | 2019-11-12 |
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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.