institution
Southeastern Regional Medical Center
Rural Health Clinic/Center in Saint Pauls, North Carolina
NPI 1710979430

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 Saint Pauls, NC. The NPI Number for Southeastern Regional Medical Center is 1710979430 and holds a License No. H0064 (North Carolina).

The current practice location address for Southeastern Regional Medical Center is 128 E Broad St, Saint Pauls, NC and can be reached out via phone at 910-865-5955 and via fax at 910-865-3055.

Location: 128 E Broad St, Saint Pauls, NC, 28358-3011
institution
Provider Profile Details
NPI Number
1710979430
Provider Name
Southeastern Regional Medical Center
Credential
Provider Entity Type
Organization
Address
128 E Broad St, Saint Pauls, NC, 28358-3011
Phone Number
910-865-5955
Fax Number
910-865-3055
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
011MW 01 NC BLUE CROSS BLUE SHIELD
343999C 05 NC
343999A 05 NC
institution
Provider Business Practice Location Address Details
Address
128 E Broad St
City
State
Zip
28384-1610
Phone Number
910-865-5955
Fax Number
910-865-3055
person
Provider Business Mailing Address Details
Address
128 E Broad St
City
State
Zip
28384-1610
Phone Number
910-865-5955
Fax Number
910-865-3055
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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