Pain Management Clinic

LBN: Southeastern Regional Medical Center
Pain Management Clinic is an health care organization with primary practice located at 4308 Ludgate St , Lumberton NC 28358-2461. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Southeastern Regional Medical Center can be contacted via phone (910) 671-9298, or through Johnson, Charles Thomas via phone (910) 671-5090.

Contact Information

Primary practice address
4308 Ludgate St Lumberton NC 28358-2461
Phone: (910) 671-9298
Fax: (910) 671-4850
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Charles Thomas
Phone: (910) 671-5090

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X H0064 North Carolina

Profile Details

NPI number 1386608792
LBN Legal business name Southeastern Regional Medical Center
DBA Doing business as Pain Management Clinic
Authorized official Johnson, Charles Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Jan 27th, 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 1386608792 NPPES
Other 019V9 BCBS
MEDICAID 5909183 BCBS

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