| Southeastern Regional Medical Center | |
|
128 E Broad St Saint Pauls NC 28384-1610 | |
| (910) 865-5955 | |
| (910) 865-3055 |
| Full Name | Southeastern Regional Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 128 E Broad St, Saint Pauls, 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) 737-3147 | Southeastern Regional Medical Center 128 E Broad St Saint Pauls NC 28384-1610 Ph: (910) 865-5955 |
| NPI Number | 1710979430 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710979430 | NPI | - | NPPES |
| 011MW | Other | NC | BLUE CROSS BLUE SHIELD |
| 343999C | Medicaid | NC | |
| 343999A | 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: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-865-3055 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 W Broad St, Saint Pauls, NC 28384 Phone: 910-241-3078 | |
Robeson Health Care Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-241-3042 Fax: 910-241-3462 | |
Sunesis Comprehensive Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 E Blue St, Saint Pauls, NC 28384 Phone: 910-865-5177 Fax: 910-865-9400 | |
Southeastern Regional Physician Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Broad St, Saint Pauls, NC 28384 Phone: 910-865-5955 Fax: 910-738-3764 | |
Cape Fear Valley Health System Specialty Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 580 W Mclean St, Saint Pauls, NC 28384 Phone: 910-615-3570 Fax: 910-865-3503 |