SOUTHEASTERN URGENT CARE PEMBROKE
NPI 1588840490
Clinic/Center - Urgent Care in Pembroke, NC

Active since January 10, 2008
812 CANDY PARK RD, PEMBROKE, NC 28372(910) 272-3051(910) 738-3764 Get Directions Write a Review

NPPES record last updated: April 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeastern Urgent Care Pembroke NPPES

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

SOUTHEASTERN URGENT CARE PEMBROKE (NPI 1588840490) is a healthcare organization registered as an urgent care in Pembroke, 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

NPI1588840490
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address812 CANDY PARK RDPembroke, NC 28372-9129
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles T. JohnsonCfo · (910) 671-5909
Enumeration DateJanuary 10, 2008
Last NPPES UpdateApril 21, 2009
NPI 1588840490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License Licensed in NC · H0064
812 CANDY PARK RD, Pembroke, NC 28372

Other Names 1

Doing Business AsSoutheastern Urgent Care Pembroke

Other Identifiers 4

Medicaid5909123NC
Medicare OSCAR/certification235109RNC
Other019V4NC · Bcbs
Medicare PIN235109RNC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Internal Medicine (Cardiovascular Disease)
812 CANDY PARK RD
PEMBROKE, NC 28372
Chiropractor
812 CANDY PARK RD, SUITE 6103
PEMBROKE, NC 28372
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Physician Assistant
812 CANDY PARK RD
PEMBROKE, NC 28372
Social Worker (Clinical)
812 CANDY PARK RD
PEMBROKE, NC 28372
Internal Medicine (Hematology & Oncology)
812 CANDY PARK RD
PEMBROKE, NC 28372
Pediatrics
812 CANDY PARK RD
PEMBROKE, NC 28372

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 1588840490. It was assigned to this organization in the NPPES registry on January 10, 2008. The provider is doing business as Southeastern Urgent Care Pembroke.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 812 Candy Park Rd, Pembroke, NC 28372. 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, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Medical Center was last updated on April 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.