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SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1215173331


NPI Information

NPI: 1215173331
Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER

Doing Business As: SRMC-HOSPICE PROFESSIONAL SERVICES

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
1100 PINE RUN DR
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-1488
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SOUTHEASTERN REGIONAL MEDICAL CENTER is a hospice inpatient in Lumberton, NC. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1215173331. The provider is registered as an organization entity type.
The provider Is Doing Business As Srmc-hospice Professional Services.

The provider's business location address is:

1100 PINE RUN DR
LUMBERTON, NC
ZIP 28358-118
Phone: (910) 671-1488
Fax: (910) 738-3764

The provider's authorized official is Charles T. Johnson .
The authorized official title is Cfo and has the following contact phone number 91067155090.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 4/21/2009.


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
1315D00000XHospice, InpatientH0064NORTH CAROLINAYes

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
1235109VMEDICARE PINNORTH CAROLINA
25950730MEDICAIDNORTH 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: 5/5/2024

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