SOUTHEASTERN LIFE CENTER INC
NPI 1801580485
Non-emergency Medical Transport (VAN) in Lumberton, NC

NPI Status: Active since June 06, 2023

Contact Information

3005 N ELM ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 522-0408

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  • Organization
  • Non-emergency Medical Transport (VAN)
  • CLIA Number: 34D2315570
  • CLIA Cert. Type: Other - MENTAL HEALTH AGENCY
  • CLIA Exp. Date: 12-15-2026

About SOUTHEASTERN LIFE CENTER INC

This page provides the complete NPI Profile along with additional information for Southeastern Life Center Inc, a provider established in Lumberton, North Carolina operating as a Non-emergency Medical Transport (van). The healthcare provider is registered in the NPI registry with number 1801580485 assigned on June 2023. The practitioner's primary taxonomy code is 343900000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jody Bullard (Executive Director)

NPI
1801580485
Provider Name
SOUTHEASTERN LIFE CENTER INC
Entity Type
Organization
Location Address
3005 N ELM ST LUMBERTON, NC 28358
Location Phone
(910) 522-0408
Mailing Address
PO BOX 3781 PEMBROKE, NC 28372
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2023
Last Update Date
11-13-2024
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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

Non-emergency Medical Transport (VAN)

Taxonomy Code
343900000X
Type
Transportation Services
Taxonomy Description
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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

JODY BULLARD

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(910) 522-0408

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2315570
Facility Type
Other - MENTAL HEALTH AGENCY
Certificate Effective Date
December 16, 2024
Certificate Expiration Date
December 15, 2026
Laboratory Director
NANCI BREWINGTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southeastern Life Center Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1801580485, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 0 → 0 5 → 10 → 1 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 0 + 1 + 1 + 0 + 8 + 0 + 4 + 1 + 6 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1801580485.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
3005 N ELM ST
LUMBERTON, NC 28358
Nurse Practitioner (Family)
3005 N ELM ST
LUMBERTON, NC 28358

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801580485, enumerated as an "organization" on June 06, 2023.

The provider is located at 3005 N ELM ST LUMBERTON, NC 28358 and the phone number is (910) 522-0408.

Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.