SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1649499278

NPI Information

NPI: 1649499278
Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER

Doing Business As: SOUTHEASTERN RECOVERY ALTERNATIVES

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
107 DALLAS AVE
RED SPRINGS, NC
ZIP 28377
Phone: (910) 272-3030
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SOUTHEASTERN REGIONAL MEDICAL CENTER is a substance abuse rehabilitation facility in Red Springs, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1649499278. The provider is registered as an organization entity type.
The provider Is Doing Business As Southeastern Recovery Alternatives.

The provider's business location address is:

107 DALLAS AVE
RED SPRINGS, NC
ZIP 28377-849
Phone: (910) 272-3030

The provider's authorized official is James Larry Pittman .
The authorized official title is Director and has the following contact phone number (910) 272-3030.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

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	324500000X	Substance Abuse Rehabilitation Facility				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
1	8300343	MEDICAID	NORTH CAROLINA
2	8300343B MA	MEDICAID	NORTH CAROLINA
3	8300343P MA	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: 5/5/2024

NPI Synchronization or Removal

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