| Southeastern Regional Medical Center | |
|
800 Martin Luther King Jr Dr Lumberton NC 28358-6412 | |
| (910) 738-3957 | |
| (910) 738-7354 |
| Full Name | Southeastern Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 800 Martin Luther King Jr Dr, Lumberton, North Carolina |
| Authorized Official Name and Position | Charles Thomas Johnson (CFO) |
| 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) 272-3051 | Southeastern Regional Medical Center 800 Martin Luther King Jr Dr Lumberton NC 28358-6412 Ph: (910) 738-3957 |
| NPI Number | 1346232915 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346232915 | NPI | - | NPPES |
| 011RH | Other | NC | BLUE CROSS BLUE SHIELD |
| 343401 | Medicaid | NC | |
| 343401A | Medicaid | NC | |
| 343401C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0064 (North Carolina) | Primary |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd Ste A3, Lumberton, NC 28358 Phone: 910-738-1141 Fax: 910-738-6011 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 N Elm St, Lumberton, NC 28358 Phone: 910-671-5270 | |
Acme Medical Specialties, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4348 Fayetteville Rd, Lumberton, NC 28358 Phone: 910-739-5197 Fax: 910-739-5294 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2934 North Elm St., Suite B, Lumberton, NC 28358 Phone: 910-272-1175 Fax: 910-272-1176 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4308 Ludgate St, Lumberton, NC 28358 Phone: 910-671-9298 Fax: 910-738-3764 | |
Southeastern Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Oakridge Blvd, Suite B-2, Lumberton, NC 28358 Phone: 910-272-3051 Fax: 910-738-3764 | |
Integrity Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2116 N Cedar St, Lumberton, NC 28358 Phone: 910-674-3030 Fax: 910-674-3051 |