Organization Active NPI

Lumberton Family Medical Center

  • Rural Health Clinic/Center
  • Lumberton, NC
National Provider Identifier
1104097138
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
100452 Issued in NC
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

Updated by the provider on Sep 9, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
343901AMedicaidNC
012UJOtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.