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SOUTHEASTERN HEALTH CENTER CLARKTON
NPI 1033396155
Clinic/Center in Clarkton, NC

Active since January 31, 2008
9928 N. W.R. LATHAN STREET, CLARKTON, NC 28433(910) 272-3051(910) 738-3764 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Health Center Clarkton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN HEALTH CENTER CLARKTON (NPI 1033396155) is a healthcare organization registered as a clinic/center in Clarkton, North Carolina and active in the NPI registry since January 2008. The organization lists Charles T. Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1033396155
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address9928 N. W.R. LATHAN STREETClarkton, NC 28433
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 272-3051
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5090
Enumeration DateJanuary 31, 2008
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1033396155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · H0064
Definition
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).
9928 N. W.R. LATHAN STREET, Clarkton, NC 28433
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Other Names 1

Doing Business AsSoutheastern Health Center Clarkton

Other Identifiers 4

Other020EHNC · Bcbs
Medicare PIN235109QNC
Medicare OSCAR/certification235109QNC
Medicaid5908813NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Regional Medical Center's NPI number?

The NPI number for Southeastern Regional Medical Center is 1033396155. It was assigned to this organization in the NPPES registry on January 31, 2008. The provider is doing business as Southeastern Health Center Clarkton.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 9928 N. W.R. Lathan Street, Clarkton, NC 28433. The listed phone number is (910) 272-3051.

What is Southeastern Regional Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Medical Center was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.