SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI 1902209877

NPI Information

NPI: 1902209877
Provider Name: SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

Doing Business As: SOUTHEASTERN MEDICAL CLINIC ROWLAND

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
102 N BOND ST
ROWLAND, NC
ZIP 28383
Phone: (910) 422-3350
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SOUTHEASTERN REGIONAL PHYSICIAN SERVICES is a rural health clinic center in Rowland, NC. SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI is 1902209877. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Medical Clinic Rowland.

The provider's business location address is:

102 N BOND ST
ROWLAND, NC
ZIP 28383-741
Phone: (910) 422-3350
Fax: (910) 422-3936

The provider's authorized official is Fordham B. Britt .
The authorized official title is Director and has the following contact phone number (910) 671-5026.

The CLIA number assigned to this NPI record is 34D0938993 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/6/2014 and was last updated on 10/8/2020.

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	207Q00000X	Family Medicine		H0064	NORTH CAROLINA	No
2	261QR1300X	Clinic/Center	Rural Health	H0064	NORTH CAROLINA	Yes

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: 4/28/2024

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