| Southeastern Regional Medical Center | |
|
4308 Ludgate St Lumberton NC 28358-2461 | |
| (910) 671-5185 | |
| Not Available |
| Full Name | Southeastern Regional Medical Center |
|---|---|
| Speciality | Case Management |
| Location | 4308 Ludgate St, Lumberton, North Carolina |
| Authorized Official Name and Position | C. Thomas Johnson (V. P. FINANCE) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Regional Medical Center 2600 N Elm St Lumberton NC 28358-3011 Ph: (910) 671-5733 | Southeastern Regional Medical Center 4308 Ludgate St Lumberton NC 28358-2461 Ph: (910) 671-5185 |
| NPI Number | 1962484782 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962484782 | NPI | - | NPPES |
| 3408280 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | H0064 (North Carolina) | Primary |
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