SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON
NPI 1629205687
Clinic/Center in Lumberton, NC

NPI Status: Active since June 17, 2009

Contact Information

725 OAKRIDGE BLVD
SUITE B-2
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-0052
Fax: (910) 738-3764

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  • Organization
  • Clinic/Center

About SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON

This page provides the complete NPI Profile along with additional information for Southeastern Medical Clinic North Lumberton, a provider established in Lumberton, North Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1629205687 assigned on June 2009. The practitioner's primary taxonomy code is 261Q00000X with license number H0064 (NC). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Southeastern Medical Clinic North Lumberton. The authorized official of this NPI record is Charles T. Johnson Iii (Cfo)

NPI
1629205687
Provider Legal Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Other Organization Name
SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
725 OAKRIDGE BLVD SUITE B-2 LUMBERTON, NC 28358
Location Phone
(910) 671-0052
Location Fax
(910) 738-3764
Mailing Address
2600 N ELM ST LUMBERTON, NC 28358
Mailing Phone
(910) 272-3051
Mailing Fax
(910) 738-3764
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2009
Last Update Date
06-17-2009
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
H0064
License State
NC
Taxonomy Description
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).

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

CHARLES T. JOHNSON III

Authorized Official Title
CFO
Authorized Official Phone
(910) 671-5090

Reviews for SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629205687
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26494010616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 0 + 1 + 0 + 6 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1629205687 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417954025 WALTER NEAL JR. M.D.
Individual
Obstetrics & Gynecology725 OAKRIDGE BLVD STE C-1
LUMBERTON, NC 28358
(910) 608-3078
1053551242SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Clinic/Center725 OAKRIDGE BLVD SUITE B-2
LUMBERTON, NC 28358
(910) 272-3051
1346570512SOUTHEASTERN REGIONAL MEDICAL CENTER
Organization
Obstetrics & Gynecology725 OAKRIDGE BLVD SUITE C-1
LUMBERTON, NC 28358
(910) 272-3051
1801883467LUMBERTON OBSTETRICS & GYNECOLOGY, PA
Organization
Clinic/Center (Medical Specialty)725 OAKRIDGE BLVD SUITE C-1
LUMBERTON, NC 28358
(910) 738-9601
1427084755GORDON FAMILY MEDICINE
Organization
Clinic/Center (Primary Care)725 OAKRIDGE BLVD SUITE A-1
LUMBERTON, NC 28358
(910) 272-0444
1063409613 CHRISTINE MARIE MELLON M.D.
Individual
Obstetrics & Gynecology725 OAKRIDGE BLVD SUITE C-1
LUMBERTON, NC 28358
(910) 738-9601
1437158201 ROBIN YOLANDA PEACE MD
Individual
Family Medicine725 OAKRIDGE BLVD SUITE B2
LUMBERTON, NC 28358
(910) 671-0052

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629205687, enumerated in the NPI registry as an "organization" on June 17, 2009

The provider is located at 725 Oakridge Blvd Suite B-2 Lumberton, Nc 28358 and the phone number is (910) 671-0052

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on June 17, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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