DIABETES COMMUNITY CENTER – NPI #1346632593
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

DIABETES COMMUNITY CENTER is a provider located in LUMBERTON, NC. NPPES has assigned the NPI number 1346632593 to DIABETES COMMUNITY CENTER on February 25, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DIABETES COMMUNITY CENTER” is a dba name, the actual legal business name for this organization is SOUTHEASTERN HEALTH PHYSICIAN SERVICES. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Oct 28, 2020. 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 DIABETES COMMUNITY CENTER below.

NPI Profile for
SOUTHEASTERN HEALTH PHYSICIAN SERVICES

NPI Number
1346632593
Enumeration Date

(more than 11 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 HEALTH PHYSICIAN SERVICES
Doing Business As (dba): DIABETES COMMUNITY CENTER
Primary location
2634 N ELM ST. SUITE G
LUMBERTON, NC 28358
Phone: (910) 618-0655 Fax: (910) 272-1189
Mailing address
2002 N CEDAR ST STE B
LUMBERTON, NC 28358-3926
Phone: (910) 272-3048 Fax: (910) 738-3764
Organization Subpart
No
Authorized Official
FORDHAM BRITT
DIRECTOR
Phone: (910) 671-5026
Updated
Certification Date
Oct 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208D00000X
- General Practice (Primary)

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.