Srmc-Woodhaven Professional Services

LBN: Southeastern Regional Medical Center
Srmc-Woodhaven Professional Services is an health care organization with primary practice located at 1150 Pine Run Dr , Lumberton NC 28358-2118. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Southeastern Regional Medical Center can be contacted via phone (910) 671-5703, or through Johnson, Charles T. via phone (910) 671-5090.

Contact Information

Primary practice address
1150 Pine Run Dr Lumberton NC 28358-2118
Fax: (910) 738-3764
Website:
Authorized official contact:
Name: Johnson, Charles T.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X H0064 North Carolina

Profile Details

NPI number 1538305677
LBN Legal business name Southeastern Regional Medical Center
DBA Doing business as Srmc-Woodhaven Professional Services
Authorized official Johnson, Charles T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2008
Last updated Apr 21st, 2009 - about 16 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 1538305677 NPPES
North Carolina MEDICAID 5950723

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