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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8300343 | 05 | |
NC | 8300343B MA | 05 | |
NC | 8300343P MA | 05 |
Other Name | Type Code |
---|---|
Southeastern 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 |
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 |
Street Address |
107 DALLAS AVE |
City | RED SPRINGS |
State | NC |
Zip Code | 28377-1849 |
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 |
Find all providers in zip 28377 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
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] |
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 |
City | RED SPRINGS |
Zip Code | 28377 |
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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.