Organization · Type 2 NPI

Southeastern Regional Medical Center

Home Health Agency · Lumberton, NC

NPI number 1508848060 Active

Practice location

2002 N Cedar St, Suite B
Lumberton, NC 28358-3926

Fax (910) 739-3551

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	HC0235 (NC)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

4 other providers at this address

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NPI record

NPI: 1508848060
Entity type: Organization (Type 2)
Issued: Nov 18, 2005
Last updated: Dec 1, 2011
Status: Active
Subpart: Yes of Southeastern Regional Medical Center

Other names

<unavail>
Southeastern Home Health · doing business as

Authorized official

Mr. C. Thomas Johnson, CPA
V. P. Finance
(910) 671-5090

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508848060

Southeastern Regional Medical Center's National Provider Identifier is 1508848060, issued on Nov 18, 2005. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Lumberton, NC. The record was last updated on Dec 1, 2011.