Southeastern Urgent Care Pembroke

LBN: Southeastern Regional Medical Center
Southeastern Urgent Care Pembroke is an health care organization with primary practice located at 812 Candy Park Rd , Pembroke NC 28372-9129. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, 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) 671-5909.

Contact Information

Primary practice address
812 Candy Park Rd Pembroke NC 28372-9129
Phone: (910) 272-3051
Fax: (910) 738-3764
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Charles T.
Phone: (910) 671-5909

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X H0064 North Carolina

Profile Details

NPI number 1588840490
LBN Legal business name Southeastern Regional Medical Center
DBA Doing business as Southeastern Urgent Care Pembroke
Authorized official Johnson, Charles T.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 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 1588840490 NPPES
North Carolina Other 019V4 BCBS
North Carolina MEDICAID 5909123 BCBS

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