Active NPI
Southeastern Behavioral Healthcare
- Community/Behavioral Health Agency
- Whiteville, NC
National Provider Identifier
1740415389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL078167
- Legal business name
- SOUTHEASTERN BEHAVIORAL HEALTHCARE
- Practice address
- 805 N Franklin St
Whiteville, NC 28472-2735 - Phone
- (910) 738-1587
- Fax
- (910) 738-1581
- NPI assigned
- May 27, 2009
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL078167 | NC | Primary |
Addresses
Primary practice location
805 N Franklin St
Whiteville, NC 28472-2735
Mailing address
PO Box 1004
Lumberton, NC 28359-1004
Phone (910) 738-1587
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302190 | Medicaid | NC | |
| 8302190G | Medicaid | NC | |
| 8302190K | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Southeastern Behavioral Healthcare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Lumberton, NC
- NPI 1215162771
NPI Registry JSON
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": "1740415389",
"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": "805 N FRANKLIN ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722735",
"telephone_number": "910-738-1587",
"fax_number": "910-738-1581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEASTERN BEHAVIORAL HEALTHCARE",
"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": "8302190",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302190G",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302190K",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
- Karissa Roxanne Sorrells
- South Aid Homecare Agency LLC
- South Lumberton Development Association Inc
- Southeast Medical Laboratory LLC
- Southeast Occupational Therapy
- Southeastern Regional Physician Services (Southeastern Multi-Specialty Clinic Whiteville)
- Southeastern Services & More LLC
- Southeastern United Care
- Southeastern United Care LLC
- Southeastern United Care, LLC
Sources for this page
- 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.