NPIMap

Organization Active NPI

Southeastern Regional Mental Health Cente

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1396875902
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTE
Practice address
207 W 29TH St
Lumberton, NC 28358-2901
Phone
(910) 272-1230
Fax
(910) 272-9397
NPI assigned
Mar 6, 2007
Last updated
Feb 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mrs. Vickie Evans
Title
Finance Officer
Phone
(910) 272-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

207 W 29TH St
Lumberton, NC 28358-2901

Mailing address

450 Country Club Rd
Lumberton, NC 28360-9494
Phone (910) 272-1230

Other identifiers 2

IdentifierTypeStateIssuer
8300922FMedicaidNC
8300922CMedicaidNC

Other names 1

  • Southeastern Regional LME Other name

National Provider Directory

National Provider Directory
Tax ID family
Southeastern Regional Mental Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1396875902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 COUNTRY CLUB RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283609494",
            "telephone_number": "910-272-1230",
            "fax_number": "910-272-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W 29TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582901",
            "telephone_number": "910-272-1230",
            "fax_number": "910-272-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN REGIONAL MENTAL HEALTH CENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "910-272-1230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300922F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300922C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Regional LME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 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.