PAIN MANAGEMENT CLINIC
NPI 1386608792
Clinic/Center - Pain in Lumberton, NC
- Organization
- Clinic/Center
- Pain
About PAIN MANAGEMENT CLINIC
This page provides the complete NPI Profile along with additional information for Pain Management Clinic, a provider established in Lumberton, North Carolina operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1386608792 assigned on April 2006. The practitioner's primary taxonomy code is 261QP3300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Pain Management Clinic. The authorized official of this NPI record is Mr. Charles Thomas Johnson Iii (Cfo)
- NPI
- 1386608792 Verify this NPI
- Provider Legal Name
- SOUTHEASTERN REGIONAL MEDICAL CENTER
- Other Organization Name
- PAIN MANAGEMENT CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4308 LUDGATE ST LUMBERTON, NC 28358
- Location Phone
- (910) 671-9298
- Location Fax
- (910) 671-4850
- Mailing Address
- 2600 N ELM ST LUMBERTON, NC 28358
- Mailing Phone
- (910) 272-3051
- Mailing Fax
- (910) 738-3764
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2006
- Last Update Date
- 01-27-2009
- 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 Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
- License No.
- H0064
- License State
- NC
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.
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 |
|---|---|---|---|
| 019V9 | OTHER (01) | BCBS | |
| 2267210A | MEDICARE OSCAR/CERTIFICATION (06) | NC | |
| 2267210A | MEDICARE PIN (08) | NC | |
| 5909183 | MEDICAID (05) | NC |
Reviews for PAIN MANAGEMENT CLINIC
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386608792, enumerated as an "organization" on April 13, 2006.
The provider is located at 4308 LUDGATE ST LUMBERTON, NC 28358 and the phone number is (910) 671-9298.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
