SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1013245117

NPI Information

  • NPI: 1013245117
  • Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN MEDICAL CLINIC GRAY'S CREEK
  • Address: 1277 CHICKEN FOOT RD.
    HOPE MILLS, NC
    ZIP 28348
  • Phone: (910) 272-3051

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NPI Details

SOUTHEASTERN REGIONAL MEDICAL CENTER is a clinic center in Hope Mills, NC. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1013245117. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Medical Clinic Gray's Creek.

The provider's business location address is:

1277 CHICKEN FOOT RD.
HOPE MILLS, NC
ZIP 28348-525
Phone: (910) 272-3051
Fax: (910) 738-3764

The provider's authorized official is Dean Ruth .
The authorized official title is Director and has the following contact phone number (910) 735-8874.

The enumeration date for this NPI number is 12/1/2009 and was last updated on 12/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterH0064NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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