SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1639190242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639190242 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Other Organization Name | CAROLINA MANOR/RECOVERY ALTERNATIVES |
| Practice Address |
1100 Pine Run Dr Lumberton NC 28358-2118 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9107381191 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES L. PITTMAN (DIRECTOR) |
| Authorized Official Telephone | 9107381191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H0064 | NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carolina Manor/Recovery Alternatives | 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 |
| 1013975812 | Southeastern Regional Medical Center | Counselor | 4303 Ludgate St, Lumberton, NC 28358-2460 | 2006-05-02 |
| Street Address |
1100 PINE RUN DR |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215173331 | Southeastern Regional Medical Center | Hospice, Inpatient | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2008-12-18 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043680630 | Southeastern Regional Physician Services | Clinic/Center | 2934 North Elm St., Suite B, Lumberton, NC 28358-2981 | 2015-09-25 |
| 1093960262 | Hamilton Therapeutic Services, L.l.c | Clinic/Center | 3501 Fayetteville Rd, Lumberton, NC 28358-2709 | 2008-12-01 |
| 1932389582 | Southeastern Regional Medical Center | Clinic/Center | 730 Oakridge Blvd Ste A, Lumberton, NC 28358-2324 | 2007-11-13 |
| 1407843014 | Southeastern Eye Care, Pa | Clinic/Center | 106 Farm Brook Dr, Suite B, Lumberton, NC 28358-2178 | 2005-09-29 |
| 1780202093 | Southeastern Regional Physician Services | Clinic/Center | 725 Oakridge Blvd Ste A3, Lumberton, NC 28358-2351 | 2020-07-13 |
| 1376065854 | Southeastern Regional Physician Services | Clinic/Center | 2936 N Elm St Ste 102, Lumberton, NC 28358-2981 | 2017-07-17 |
| 1013453265 | Tad Group LLC | Clinic/Center | 1233 S Main St, Lumberton, TX 77657-7390 | 2017-01-12 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1255790507 | Southeastern Regional Physician Services | Clinic/Center | 4307 Fayetteville Rd, Lumberton, NC 28358-2676 | 2016-02-15 |
| 1831425719 | Southeastern Regional Medical Center | Clinic/Center | 815 Oakridge Blvd, Lumberton, NC 28358-2330 | 2009-10-27 |
| Find all providers in LUMBERTON | ||||
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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.