Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Urgent Care Pembroke
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES T. JOHNSON (CFO)
(910) 671-5909
Entity
Organization
Contact information
Practice address
812 CANDY PARK RD, PEMBROKE, NC 28372-9129
(910) 272-3051
(910) 738-3764
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019V4
BCBS
NC
05
—
5909123
—
NC
Enumeration date
01/10/2008
Last updated
04/21/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us