Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Med Care Southeastern Health
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
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
H0064
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406836
—
NC
Enumeration date
11/23/2005
Last updated
01/23/2015
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