SOUTHEASTERN HEALTH CENTER CLARKTON – NPI #1477780476
Clinic/Center

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).

SOUTHEASTERN HEALTH CENTER CLARKTON is an AHC clinic located in CLARKTON, NC. NPPES has assigned the NPI number 1477780476 to SOUTHEASTERN HEALTH CENTER CLARKTON on June 17, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEASTERN HEALTH CENTER CLARKTON” is a dba name, the actual legal business name for this organization is SOUTHEASTERN REGIONAL PHYSICIAN SERVICES. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN HEALTH CENTER CLARKTON below.

NPI Profile for
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

NPI Number
1477780476
Enumeration Date

(about 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Doing Business As (dba): SOUTHEASTERN HEALTH CENTER CLARKTON
Primary location
9928 N. W. R. LATHAN ST.
CLARKTON, NC 28433
Phone: (910) 647-1503 Fax: (910) 738-3764
Mailing address
2600 N ELM ST
LUMBERTON, NC 28358-3011
Phone: (910) 272-3051 Fax: (910) 737-3764
Organization Subpart
No
Authorized Official
CHARLES JOHNSON
CFO
Phone: (910) 671-5090
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
NC H0064

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.