Srmc-Wound Care Professional Services

LBN: Southeastern Regional Medical Center
Srmc-Wound Care Professional Services is an health care organization with primary practice located at 103 W 27Th St , Lumberton NC 28358-3014. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Southeastern Regional Medical Center can be contacted via phone (910) 738-3836, or through Johnson, Charles Thomas via phone (910) 671-5090.

Contact Information

Primary practice address
103 W 27Th St Lumberton NC 28358-3014
Fax: (910) 738-3959
Website:
Authorized official contact:
Name: Johnson, Charles Thomas

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X H0064 North Carolina

Profile Details

NPI number 1780831776
LBN Legal business name Southeastern Regional Medical Center
DBA Doing business as Srmc-Wound Care Professional Services
Authorized official Johnson, Charles Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2008
Last updated Sep 25th, 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 1780831776 NPPES
North Carolina Other 020XY BCBS
North Carolina MEDICAID 5950384 BCBS

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