SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1215003215

NPI Information

NPI: 1215003215
Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER
Classification: Counselor - 101YA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Organization
Doing Business As: SOUTHEASTERN RECOVERY ALTERNATIVES
Address: 705B WESLEY PINES RD
LUMBERTON, NC
ZIP 28358
Phone: (910) 738-1191

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NPI Details

SOUTHEASTERN REGIONAL MEDICAL CENTER is an addiction (substance use disorder) counselor in Lumberton, NC. SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1215003215. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Recovery Alternatives.

The provider's business location address is:

705B WESLEY PINES RD
LUMBERTON, NC
ZIP 28358-105
Phone: (910) 738-1191

The provider's authorized official is C. Thomas Johnson .
The authorized official title is V. P. Finance and has the following contact phone number (910) 671-5090.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 3/15/2012.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	H0064	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005521	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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