SOUTHEASTERN REGIONAL MEDICAL CENTER


Address: 107 Dallas Ave, Red Springs, NC 28377-1849
Phone: 9102723030

SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1649499278) 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) 1649499278
Entity Type Organization
Organization Name SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name SOUTHEASTERN RECOVERY ALTERNATIVES
Practice Address 107 Dallas Ave
Red Springs
NC 28377-1849
Mailing Address 705- B Wesley Pine Road
Lumberton
NC 28358
Practice Telephone 9102723030
Mailing Telephone 9102723030
Enumeration Date 2007-04-24
Last Update Date 2020-08-22
Authorized Official Name JAMES LARRY PITTMAN (DIRECTOR)
Authorized Official Telephone 9102723030
Authorized Official Credential MA,LCAS,CCS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NC 8300343 05
NC 8300343B MA 05
NC 8300343P MA 05

Other Provider/Organization Names

Other Name Type Code
Southeastern Recovery Alternatives 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
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
1013975812 Southeastern Regional Medical Center Counselor 4303 Ludgate St, Lumberton, NC 28358-2460 2006-05-02

Office Location

Street Address 107 DALLAS AVE
City RED SPRINGS
State NC
Zip Code 28377-1849

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902432289 Caring Hand Transportation Company LLC Non-emergency Medical Transport (VAN) 551 North Mcphatter Road, Red Springs, NC 28377 2020-03-18
1629614946 Sally J. Jacobs Technician 401 Ashford Rd., Red Springs, NC 28377 2019-11-21
1770133910 Native Angels Total Property Management, LLC Home Health 11395 Hwy 211 W, Red Springs, NC 28377 2019-09-19
1073962718 Red Springs Old Main, Inc Pharmacy 300 S. Main Street, Red Srpings, NC 28377 2016-06-03
1174977094 Christopher Chapman Specialist/Technologist 509 North Vance Street, Red Springs, NC 28377 2016-04-17
1396066379 T & L Empowerment, Inc. Community/Behavioral Health 110 W. 2nd Ave, Red Springs, NC 28377 2010-06-14
1124275201 First Choice Comfort Care Agency Home Health 105 Lowery Rd, Red Springs, NC 28377 2008-08-20
1902076052 Carol C Jones Religious Nonmedical Nursing Personnel 3553 South Duffie Road, Red Springs, NC 28377 2008-03-05
1205044799 Cheryl R Locklear Dentist 239 S. Main Street, Red Springs, NC 28377 2007-05-18
1457401762 Douglas Jackson Dentist 714 E. 4th Ave, Red Springs, NC 28377 2007-01-11
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790395457 Changing Paths of Nc 2 LLC Substance Abuse Rehabilitation Facility 150 Cedar Ln, Rose Hill, NC 28458 2020-08-06
1982212874 Hall Empowerment Network Substance Abuse Rehabilitation Facility 4450 Kinkead Ct Apt 33, Fayetteville, NC 28314-2420 2020-07-16
1710504642 The Awakening Wellness Clinic, Inc Substance Abuse Rehabilitation Facility 8 Carver Rd, Jacksonville, NC 28540-7010 2020-06-26
1609408269 Pear Tree Peace Community Economic Development Corporation Substance Abuse Rehabilitation Facility 612 Pine Tops Rd, Murfreesboro, NC 27855-9595 2020-02-11
1396383352 Deerhaven Gardens, LLC. Substance Abuse Rehabilitation Facility 66 N Deerhaven Ln, Asheville, NC 28803-0120 2019-12-20
1255973210 Blissfully Supported LLC Substance Abuse Rehabilitation Facility 645 Dunbrook Ln, Charlotte, NC 28217-3405 2019-10-11
1235785726 Eighth Month Ventures, LLC Substance Abuse Rehabilitation Facility 405 Franklin Blvd, Greensboro, NC 27401-4610 2019-08-12
1538720396 Adaptive Interventions Group, LLC Substance Abuse Rehabilitation Facility 107 Robinson Dr, Cherryville, NC 28021-8100 2019-06-24
1356813802 Red Oak Adolescent Recovery LLC Substance Abuse Rehabilitation Facility 517 Cub Creek Rd, Ellenboro, NC 28040-8733 2018-12-21
1619475308 Titan Holding Group, LLC Substance Abuse Rehabilitation Facility 4944 Parkway Plaza Ste 200, Charlotte, NC 28217-0000 2018-01-27
Find all providers with the same taxonomy

Competitor

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City RED SPRINGS
Zip Code 28377

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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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