SOUTHEASTERN URGENT CARE LUMBERTON
NPI 1063779114
Clinic/Center - Urgent Care in Lumberton, NC

NPI Status: Active since April 13, 2012

Contact Information

2934 N. EL M ST.
SUITE B
LUMBERTON, NC
ZIP 28358
Phone: (910) 272-1175
Fax: (910) 272-1176

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  • Organization
  • Clinic/Center
  • Urgent Care

About SOUTHEASTERN URGENT CARE LUMBERTON

This page provides the complete NPI Profile along with additional information for Southeastern Urgent Care Lumberton, a provider established in Lumberton, North Carolina operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1063779114 assigned on April 2012. The practitioner's primary taxonomy code is 261QU0200X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Southeastern Urgent Care Lumberton. The authorized official of this NPI record is Charles Thomas Johnson Iii (Vp)

NPI
1063779114
Provider Legal Name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other Organization Name
SOUTHEASTERN URGENT CARE LUMBERTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2934 N. EL M ST. SUITE B LUMBERTON, NC 28358
Location Phone
(910) 272-1175
Location Fax
(910) 272-1176
Mailing Address
PO BOX 890860 CHARLOTTE, NC 28289
Mailing Phone
(910) 671-5290
Mailing Fax
(910) 272-1176
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2012
Last Update Date
04-13-2012
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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 Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES THOMAS JOHNSON III

Authorized Official Title
VP
Authorized Official Phone
(910) 671-5090

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063779114, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 4 + 7 + 1 + 8 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063779114.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063779114, enumerated as an "organization" on April 13, 2012.

The provider is located at 2934 N. EL M ST. SUITE B LUMBERTON, NC 28358 and the phone number is (910) 272-1175.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.