Southeastern Behavioral Healthcare Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL078167 Issued in NC

Legal business name

SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES

Practice address

3435 Lackey St
Lumberton, NC 28360-9046

Phone

(910) 738-1587

Fax

(910) 738-1581

NPI assigned

May 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Virgil L Hutchinson

Title

Ceo

Phone

(910) 738-1587

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Southeastern Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeastern Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1740415389
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1215162771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1004",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283591004",
            "telephone_number": "910-738-1587",
            "fax_number": "910-738-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LACKEY ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609046",
            "telephone_number": "910-738-1587",
            "fax_number": "910-738-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-738-1587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL078167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302200",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302200G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302200K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beza Solomon
• South Lumberton Development Association Inc
• Southeasterm Hearing Center, Inc
• Southeastern Ambulatory Surgery Center, LLC
• Southeastern ASC
• Southeastern Behavioral Healthcare Services
• Southeastern Behavioral Homecare Services Inc
• Southeastern Cardiology PA
• Southeastern Cardiology PA
• Southeastern Community Services

• Community/Behavioral Health Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.