Southeastern Regional Physician Services
Organization Active NPI Health Maintenance Organization · Lumberton, NC
NPI 1013335009 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1013335009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- H0064 (NC)
- Legal business name
- SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
- Practice address
- 103 W 27TH St
Lumberton, NC 28358-3014 - Phone
- (910) 738-3836
- Fax
- (910) 738-3959
- NPI assigned
- Apr 7, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHEASTERN REGIONAL MEDICAL CENTER
Authorized official
- Name
- Fordham B Britt
- Title
- Director
- Phone
- (910) 671-5026
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Southeastern ASC
- Part of
- Southeastern General Ho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | H0064 | NC | Yes |
Addresses
Primary practice location
103 W 27TH St
Lumberton, NC 28358-3014
Mailing address
2600 N Elm St
Lumberton, NC 28358-3011
Phone (910) 272-3051
Other names
- Wound Care Professional Services
Other providers in Lumberton, NC
- Southeastern Regional Mental Health Center
- Southeastern Regional Mental Health Center
- Southeastern Regional Mental Health Center
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
- Southeastern Regional Physician Services
All providers in Lumberton, NC · Health Maintenance Organization in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.