SOUTHEASTERN MEDICAL CLINIC ROWLAND
NPI 1902209877
Clinic/Center - Rural Health in Rowland, NC
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 34D0938993
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-28-2025
About SOUTHEASTERN MEDICAL CLINIC ROWLAND
This page provides the complete NPI Profile along with additional information for Southeastern Medical Clinic Rowland, a primary care provider established in Rowland, North Carolina operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1902209877 assigned on October 2014. The practitioner's primary taxonomy code is 261QR1300X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. Southeastern Medical Clinic Rowland operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Southeastern Medical Clinic Rowland. The authorized official of this NPI record is Mrs. Fordham B. Britt (Director)
- NPI
- 1902209877 Verify this NPI
- Provider Legal Name
- SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
- Other Organization Name
- SOUTHEASTERN MEDICAL CLINIC ROWLAND
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 102 N BOND ST ROWLAND, NC 28383
- Location Phone
- (910) 422-3350
- Location Fax
- (910) 422-3936
- Mailing Address
- 2002 N CEDAR ST STE B LUMBERTON, NC 28358
- Mailing Phone
- (910) 272-3048
- Mailing Fax
- (910) 738-3764
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-06-2014
- Last Update Date
- 10-08-2020
- Code Navigator
A primary care provider (PCP) like Southeastern Medical Clinic Rowland sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- H0064
- License State
- NC
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | H0064 (NC) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 34D0938993
- Facility Type
- Physician Office
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- KELVIN K. SAMPSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southeastern Medical Clinic Rowland in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902209877, enumerated as an "organization" on October 06, 2014.
The provider is located at 102 N BOND ST ROWLAND, NC 28383 and the phone number is (910) 422-3350.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
