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SOUTHEASTERN LUMBERTON MEDICAL CLINIC
NPI 1710136981
Clinic/Center in Lumberton, NC

Active since September 12, 2008
395 W 27TH ST, LUMBERTON, NC 28358(910) 738-9755(910) 738-3764 Get Directions Write a Review

NPPES record last updated: February 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Lumberton Medical Clinic NPPES

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

SOUTHEASTERN LUMBERTON MEDICAL CLINIC (NPI 1710136981) is a healthcare organization registered as a clinic/center in Lumberton, North Carolina and active in the NPI registry since September 2008. The organization lists Charles Thomas Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710136981
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSOUTHEASTERN REGIONAL MEDICAL CENTER
Location Address395 W 27TH STLumberton, NC 28358-3018
Mailing Address2600 N Elm StLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Phone(910) 738-9755
Fax(910) 738-3764
Organization SubpartNo
Authorized OfficialCharles Thomas JohnsonCfo · (910) 671-5090
Enumeration DateSeptember 12, 2008
Last NPPES UpdateFebruary 11, 2009
✔ NPI 1710136981 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).
395 W 27TH ST, Lumberton, NC 28358
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Other Names 1

Doing Business AsSoutheastern Lumberton Medical Clinic

Other Identifiers 4

Other020VYNC · Bcbs
Medicare OSCAR/certification235109ANC
Medicare PIN235109ANC
Medicaid5950386NC

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.

PRADEEP GHIMIRE MD
General Practice
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHRISTOPHER FINK DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
CHARLES R. BEASLEY M.D.
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
JOHNNY LEE DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
DR. BRITTANY NOELANI SUDDRETH DO
Student in an Organized Health Care Education/Training Program
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
BARAA S A BARAAWI MD
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551
PAUL SIERSZULSKI DO
Internal Medicine
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7557
NAM HUYNH
Hospitalist
395 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 739-7551

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 1710136981. It was assigned to this organization in the NPPES registry on September 12, 2008. The provider is doing business as Southeastern Lumberton Medical Clinic.

Where is Southeastern Regional Medical Center located?

Southeastern Regional Medical Center is located at 395 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 738-9755.

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 February 11, 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.