SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1790152668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790152668 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Practice Address |
4901 Dawn Dr Lumberton NC 28360-8287 |
| Practice Telephone | 9102344727 |
| Mailing Telephone | 9102344727 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | CHERRIE MALLORY (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 9102721425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| 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 |
4901 DAWN DR |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-8287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1881046035 | Sashah Davis | Specialist/Technologist | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2016-07-11 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1518332162 | Brendon Michael Jonsson | Specialist/Technologist | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-12-08 |
| 1235506569 | Jamie Young | Nurse Practitioner | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-08-21 |
| 1699179903 | Carolina Bays Anesthesia, P.C. | Anesthesiology | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-10-15 |
| 1972911030 | Southeastern Ambulatory Surgery Center, LLC | Clinic/Center | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-07-31 |
| 1548672504 | Southeastern Regional Physician Services | Internal Medicine | 4901 Dawn Dr, 3rd Floor Suite 4, Lumberton, NC 28360-8207 | 2014-05-27 |
| 1578975611 | Southeastern Regional Physician Services | Physical Medicine & Rehabilitation | 4901 Dawn Dr, 3rd Floor Suite 1, Lumberton, NC 28360-8207 | 2014-05-23 |
| 1558773770 | Southeastern Regional Physician Services | Orthopaedic Surgery | 4901 Dawn Dr, 2nd Floor Suite 3, Lumberton, NC 28360-8207 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750932117 | Lumberton Hospital LLC | General Acute Care Hospital | 220 Blanco St, Lumberton, TX 77657-8620 | 2019-09-26 |
| 1134533052 | Temple University Hospital | General Acute Care Hospital | 3 Amberwood Ln, Lumberton, NJ 08048-4309 | 2014-06-18 |
| 1427445360 | Southeastern Regional Medical Center | General Acute Care Hospital | 300 West 27th Street, Lumberton, NC 28359 | 2015-04-17 |
| 1356543383 | Southeastern Regional Medical Center | General Acute Care Hospital | 4895 Fayetteville Rd, Lumberton, NC 28358-2162 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
| 1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHEASTERN REGIONAL MEDICAL CENTER.
| 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.