Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other names
Southeastern Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Authorized official
MR. C. THOMAS JOHNSON III CPA (V. P. FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
2002 N CEDAR ST, SUITE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551
Mailing address
2002 N CEDAR ST, SUITE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC0235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3407118
—
NC
Enumeration date
11/18/2005
Last updated
12/01/2011
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