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NPI Code Detail

MEDICARE: SOUTHEASTERN REGIONAL MEDICAL CENTER

MEDICARE: SOUTHEASTERN REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416A0800XAir Ambulance
23416L0300XLand Ambulance
33416S0300XWater Ambulance
4341600000XAmbulanceH0064NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942283981
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEASTERN REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-671-5000
Fax Number :
Authorized Official
Title or Position : CFO
Name : SARA B BRADLEY
Credential :
Telephone Number : 501-282-6904
Provider Enumeration Date : 11/23/2005
Last Update Date : 06/22/2026

Similar Medicare Providers

1568761963 — SOUTHEASTERN REGIONAL MEDICAL CENTER
Practice Location Address:
300 W 27TH ST
LUMBERTON, NC
28358-3075
Practice Phone: 910-735-8806
Practice Fax: 910-735-8803
1912236613 — MUHAMMAD SARFRAZ ZAFAR M.D.
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1053319178 — WANDA C UNTCH CRNA
Practice Location Address:
300 W 27TH ST
LUMBERTON, NC
28358-3075
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Practice Fax:
1215931936 — PAUL ANTHONY GORDON M.D.
Practice Location Address:
300 W 27TH ST
LUMBERTON, NC
28358-3075
Practice Phone: 910-671-5000
Practice Fax:
1861498354 — JOHN DAVIS HEPLER M.D.
Practice Location Address:
300 W 27TH ST
LUMBERTON, NC
28358-3075
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Practice Fax:
1679570261 — SUSAN WYCOFF KERR CRNA
Practice Location Address:
300 W 27TH ST
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Directions to “SOUTHEASTERN REGIONAL MEDICAL CENTER ” Practice Location

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