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SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1215267125


NPI Information

NPI: 1215267125
Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER

Doing Business As: SOUTHEASTERN MEDICAL CLINIC MAXTON

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
22401 ANDREW JACKSON HWY
MAXTON, NC
ZIP 28364
Phone: (910) 272-3051
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SOUTHEASTERN REGIONAL MEDICAL CENTER is a clinic center in Maxton, 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 1215267125. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Medical Clinic Maxton.

The provider's business location address is:

22401 ANDREW JACKSON HWY
MAXTON, NC
ZIP 28364-721
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 12/29/2009 and was last updated on 12/29/2009.


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?

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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