SOUTHEASTERN RECOVERY ALTERNATIVES
NPI 1013975812
Clinic/Center in Lumberton, NC
- Organization
- Clinic/Center
About SOUTHEASTERN RECOVERY ALTERNATIVES
This page provides the complete NPI Profile along with additional information for Southeastern Recovery Alternatives, a provider established in Lumberton, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1013975812 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 10 years ago. Southeastern Recovery Alternatives operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southeastern Recovery Alternatives. The authorized official of this NPI record is Mr. C. Thomas Johnson Iii Cfo (V. P. Finance)
- NPI
- 1013975812 Verify this NPI
- Provider Legal Name
- SOUTHEASTERN REGIONAL MEDICAL CENTER
- Other Organization Name
- SOUTHEASTERN RECOVERY ALTERNATIVES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4303 LUDGATE ST LUMBERTON, NC 28358
- Location Phone
- (910) 671-5000
- Location Fax
- (910) 671-5858
- Mailing Address
- 300 W 27TH ST LUMBERTON, NC 28358
- Mailing Phone
- (910) 671-5000
- Mailing Fax
- (910) 671-5858
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-02-2006
- Last Update Date
- 02-24-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- H0064
- License State
- NC
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | H0064 (NC) |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | H0064 (NC) |
| 3 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | H0064 (NC) |
| 4 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | HOO64 (NC) |
| 5 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | H0064 (NC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300343Q | MEDICAID (05) | NC |
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
LUMBERTON, NC 28358
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013975812, enumerated as an "organization" on May 02, 2006.
The provider is located at 4303 LUDGATE ST LUMBERTON, NC 28358 and the phone number is (910) 671-5000.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
