Active NPI
Lumberton Family Medical Center
- Rural Health Clinic/Center
- Lumberton, NC
National Provider Identifier
1104097138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- License
- 100452
- Legal business name
- LUMBERTON FAMILY MEDICAL CENTER
- Practice address
- 585 Farringdom St
Lumberton, NC 28358-2614 - Phone
- (910) 670-0052
- Fax
- (910) 670-9157
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Earl Cummings, PA
- Title
- Administrator
- Phone
- (910) 671-0052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 100452 | NC | Primary |
Addresses
Primary practice location
585 Farringdom St
Lumberton, NC 28358-2614
Mailing address
585 Farringdom St
Lumberton, NC 28358-2614
Phone (910) 670-0052
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343901A | Medicaid | NC | |
| 012UJ | Other | NC | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
585 Farringdom St
Lumberton, NC 28358
Phone (910) 670-0052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1104097138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 FARRINGDOM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582614",
"telephone_number": "910-670-0052",
"fax_number": "910-670-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 FARRINGDOM ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582614",
"telephone_number": "910-670-0052",
"fax_number": "910-670-9157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUMBERTON FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "CUMMINGS",
"authorized_official_first_name": "EARL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "910-671-0052",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NC",
"license": "100452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "343901A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "012UJ",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
- Lumberton Clinic of Surgery, PA
- Lumberton Emergency Medical Associates PC
- Lumberton Emergency Physicians
- Lumberton Emergency Rescue Unit
- Lumberton Family & Urgent Care Center PLLC
- Lumberton Family Urgent Care Center
- Lumberton Health Care, Inc.
- Lumberton Internal Medicine Group
- Lumberton Internal Medicine Group
- Lumberton Internal Medicine Group, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.