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Contact Information

SOUTHEASTERN REGIONAL MEDICAL CENTER
300 W 27TH ST
LUMBERTON, NC28358-3075
 Phone: 910-671-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN REGIONAL MEDICAL CENTER

NPI # 1942283981
LBN Legal business name SOUTHEASTERN REGIONAL MEDICAL CENTER
Authorized official C. JOHNSON - (V. P. FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 11/23/2005
Last updated 01/23/2015 - About 11 years ago
Identifiers
NC License # H0064
NC Medicaid 3406836
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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