Lumber River Healthcare Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

NC86727 Issued in NC

Legal business name

LUMBER RIVER HEALTHCARE CENTER

Practice address

22401 Andrew Jackson Hwy
Maxton, NC 28364-6721

Phone

(910) 844-8150

Fax

(910) 844-8149

NPI assigned

May 23, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nora Hunt

Title

Office Manager

Phone

(910) 844-8150

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Anthony Gordon, M.D.

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1215931936
  NPD (past)
• Dawn Tracy Langley, PA-C

  • Physician Assistant
  • Fayetteville, NC
  • NPI 1376753046
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1225248776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22401 ANDREW JACKSON HWY",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283646721",
            "telephone_number": "910-844-8150",
            "fax_number": "910-844-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22401 ANDREW JACKSON HWY",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283646721",
            "telephone_number": "910-844-8150",
            "fax_number": "910-844-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMBER RIVER HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-844-8150"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "NC86727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131XM",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Bullard Locklear, LCSW
• Stefanie Elena Locklear
• Tamara Lynn Locklear
• Loving Touch Home Care
• Breeonna Leigh Lowry, NP
• Laura Dianne Massey, LCAS, LCMHCA, SAP
• Charles Wesley Mauney
• Maxton Rescue Squad, Inc
• Paul McDowell, LCAS-A
• Ellen Lestine McMillian, MSW PLCSW CSAC

• Medical Specialty Clinic/Center in Maxton, NC
• Providers in Maxton, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.