Southeastern Medical Clinic North Lumberton

LBN: Southeastern Regional Medical Center
Southeastern Medical Clinic North Lumberton is an health care organization with primary practice located at 725 Oakridge Blvd Suite B-2, Lumberton NC 28358-2351. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Southeastern Regional Medical Center can be contacted via phone (910) 272-3051, or through Johnson, Charles T. via phone (910) 671-5090.

Contact Information

Primary practice address
725 Oakridge Blvd Suite B-2 Lumberton NC 28358-2351
Fax: (910) 738-3764
Website:
Authorized official contact:
Name: Johnson, Charles T.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X H0064 North Carolina

Profile Details

NPI number 1053551242
LBN Legal business name Southeastern Regional Medical Center
DBA Doing business as Southeastern Medical Clinic North Lumberton
Authorized official Johnson, Charles T.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2009
Last updated Jul 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053551242 NPPES
North Carolina MEDICAID 5911332
North Carolina Other 021M4
North Carolina Other 5911332

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