Southeastern Regional Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC0235 Issued in NC

Legal business name

SOUTHEASTERN REGIONAL MEDICAL CENTER

Practice address

2002 N Cedar St
Suite B
Lumberton, NC 28358-3926

Phone

(910) 671-5600

Fax

(910) 739-3551

NPI assigned

Nov 18, 2005

Organization subpart

Yes

Parent organization

SOUTHEASTERN REGIONAL MEDICAL CENTERAs reported in NPPES

Name

Mr. C. Thomas Johnson III, CPA

Title

V. P. Finance

Phone

(910) 671-5090

Organizations this organization is a member of, according to the National Provider Directory.

• Southeastern Regional Medical Center

  • Orthopaedic Surgery Physician
  • Lumberton, NC
  • NPI 1417779620

  Member Of

  NPD member

Part of

Southeastern General Ho

• Southeastern Home Health Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2011.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1508848060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST",
            "address_2": "SUITE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-671-5600",
            "fax_number": "910-739-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 N CEDAR ST",
            "address_2": "SUITE B",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583926",
            "telephone_number": "910-671-5600",
            "fax_number": "910-739-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTERN REGIONAL MEDICAL CENTER",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "V. P. FINANCE",
        "authorized_official_telephone_number": "910-671-5090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC0235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3407118",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center
• Southeastern Regional Medical Center

• All providers in Lumberton, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.