institution
Southeastern Regional Medical Center
Rural Health Clinic/Center in Fairmont, North Carolina
NPI 1194720466

Southeastern Regional Medical Center is a Rural Health Clinic/Center based in Lumberton, NC and is specialized in Rural Health. Southeastern Regional Medical Center practices in Fairmont, NC. The NPI Number for Southeastern Regional Medical Center is 1194720466 and holds a License No. H0064 (North Carolina).

The current practice location address for Southeastern Regional Medical Center is 101 N Walnut St, Fairmont, NC and can be reached out via phone at 910-628-0655 and via fax at 910-628-0158. You can also correspond with Southeastern Regional Medical Center through the mailing address at 2600 N ELM ST, LUMBERTON, NC - 28358-3011 (mailing address contact number: 910-272-3051).

Location: 101 N Walnut St, Fairmont, NC, 28358-3011
institution
Provider Profile Details
NPI Number
1194720466
Provider Name
Southeastern Regional Medical Center
Credential
Provider Entity Type
Organization
Address
101 N Walnut St, Fairmont, NC, 28358-3011
Phone Number
910-628-0655
Fax Number
910-628-0158
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0260K 01 NC BLUE CROSS BLUE SHIELD
343989A 05 NC
343989C 05 NC
institution
Provider Business Practice Location Address Details
Address
101 N Walnut St
City
State
Zip
28340-1951
Phone Number
910-628-0655
Fax Number
910-628-0158
person
Provider Business Mailing Address Details
Address
2600 N Elm St
City
State
Zip
28358-3011
Phone Number
910-272-3051
Fax Number
910-738-3764
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
H0064 (North Carolina)
Definition
Definition to come...
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