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SOUTHERASTERN HEALTH MALL CLINIC
NPI 1043680630
Clinic/Center in Lumberton, NC

Active since September 25, 2015
2934 NORTH ELM ST., SUITE B, LUMBERTON, NC 28358(910) 272-1175(910) 272-1176 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2020, Oct 8, 2020 (2 updates tracked since 2020).

About Southerastern Health Mall Clinic NPPES

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

SOUTHERASTERN HEALTH MALL CLINIC (NPI 1043680630) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since September 2015. The organization lists Fordham B Britt, Director, as its authorized official.

NPPES Registry Identity

NPI1043680630
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address2934 NORTH ELM ST., SUITE BLumberton, NC 28358-2981
Mailing Address2002 N Cedar St Ste BLumberton, NC 28358-3926 · (910) 272-3048 · Fax (910) 738-3764
Phone(910) 272-1175
Fax(910) 272-1176
Organization SubpartNo
Authorized OfficialFordham B BrittDirector · (910) 671-5026
Enumeration DateSeptember 25, 2015
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1043680630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
2934 NORTH ELM ST., Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutherastern Health Mall Clinic

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 Physician Services's NPI number?

The NPI number for Southeastern Regional Physician Services is 1043680630. It was assigned to this organization in the NPPES registry on September 25, 2015. The provider is doing business as Southerastern Health Mall Clinic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 2934 North Elm St. Suite B, Lumberton, NC 28358. The listed phone number is (910) 272-1175.

What is Southeastern Regional Physician Services'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 Physician Services was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.