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Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
UNC Health Southeastern
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C. THOMAS JOHNSON III CPA (V. P. FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 671-5858
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
(910) 671-5858
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
282NR1301X
Rural Acute Care Hospital
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400050
—
NC
Enumeration date
11/14/2005
Last updated
06/23/2023
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