SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 209 W 27th St, Lumberton, NC 28358-3016
Phone: 9107388222

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC STATE LICENSE H0064 01

Other Provider/Organization Names

Other Name Type Code
Southeastern Radiology Associates 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 209 W 27TH ST
City LUMBERTON
State NC
Zip Code 28358-3016

Providers in the same location

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

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 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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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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