| Southeastern Regional Medical Center | |
|
102 N Bond St Rowland NC 28383-9741 | |
| (910) 422-3350 | |
| (910) 422-3936 |
| Full Name | Southeastern Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 102 N Bond St, Rowland, North Carolina |
| Authorized Official Name and Position | Charles Thomas Johnson (VICE PRESIDENT 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) 272-3051 | Southeastern Regional Medical Center 102 N Bond St Rowland NC 28383-9741 Ph: (910) 422-3350 |
| NPI Number | 1891787503 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891787503 | NPI | - | NPPES |
| 0263J | Other | NC | BLUE CROSS BLUE SHIELD |
| 343417A | Medicaid | NC | |
| 343417C | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0064 (North Carolina) | Primary |
Scotland Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2362 Hwy 130 West, Rowland, NC 28383 Phone: 910-422-8811 Fax: 910-422-8046 | |
Procare Family Care Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2952 Alfordsville Road, Rowland, NC 28383 Phone: 910-422-9006 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Bond St, Rowland, NC 28383 Phone: 910-422-3350 Fax: 910-738-3764 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Bond St, Rowland, NC 28383 Phone: 910-422-3350 Fax: 910-422-3936 |