SOUTHEASTERN REGIONAL MEDICAL CENTER (NPI# 1962484782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962484782 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Other Organization Name | COMMUNITY ALTERNATIVES PROGRAM FOR DISABLED ADULTS OF ROBESON COUNTY |
| Practice Address |
4308 Ludgate St Lumberton NC 28358-2461 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9106715185 |
| Mailing Telephone | 9106715733 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2014-01-24 |
| Authorized Official Name | MR. C. THOMAS JOHNSON III (V. P. FINANCE) |
| Authorized Official Telephone | 9106715090 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 251B00000X | Case Management | H0064 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3408280 | 05 |
| Other Name | Type Code |
|---|---|
| Community Alternatives Program for Disabled Adults of Robeson County | 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 |
| 1639190242 | Southeastern Regional Medical Center | Clinic/Center | 1100 Pine Run Dr, Lumberton, NC 28358-2118 | 2006-07-21 |
| Street Address |
4308 LUDGATE ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356722946 | Amy Lacrest Locklear | Nurse Practitioner | 4308 Ludgate St, Lumberton, NC 28358-2461 | 2015-06-09 |
| 1053548016 | Southeastern Regional Physician Services | Clinic/Center | 4308 Ludgate St, Lumberton, NC 28358-2461 | 2009-06-17 |
| 1386608792 | Southeastern Regional Medical Center | Clinic/Center | 4308 Ludgate St, Lumberton, NC 28358-2461 | 2006-04-13 |
| 1417917311 | Carolyn Brumm Mccormick | Family Medicine | 4308 Ludgate St, Lumberton, NC 28358-2461 | 2006-03-24 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253985 | Vickie Elaine Smith | Case Management | 10554 Cooks Lake Rd, Lumberton, TX 77657-7453 | 2019-09-11 |
| 1912365552 | Superior Support Services LLC | Case Management | 1784 Bee Gee Rd, Lumberton, NC 28358-5705 | 2016-02-09 |
| 1538562566 | His Way Services LLC | Case Management | 252 Virginia Dr, Lumberton, NC 28358-8607 | 2014-10-05 |
| 1760729305 | God Squad, Inc. | Case Management | 15 Whitehaven Dr, Lumberton, NJ 08048-5010 | 2013-01-15 |
| 1003135054 | Family Alternatives, Inc. | Case Management | 103 N. Elm Street, Lumberton, NC 28358-6541 | 2010-05-28 |
| 1285839571 | Borderbelt Aids Resources Team, Inc. | Case Management | 3147 W 5th St, Lumberton, NC 28358-6915 | 2007-06-18 |
| 1407977390 | Stephens Outreach Center, Inc | Case Management | 2105b Elizabethtown Rd, Lumberton, NC 28358-3107 | 2007-04-02 |
| 1356478630 | Crossroads Programs | Case Management | 67 Lexington Ave, Tlp, Lumberton, NJ 08048-1603 | 2007-02-27 |
| 1174659965 | Robeson County Department of Social Services | Case Management | 120 Glen Cowan Rd, Lumberton, NC 28360-0413 | 2007-02-26 |
| 1386705861 | Life Enhancement Services | Case Management | 401 E 11th St, Lumberton, NC 28358-4807 | 2006-12-12 |
| 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.