Gibson Cc
LBN: Southeastern Regional Medical Center
Gibson Cc is an health care organization with primary practice located at 1200 Pine Run Dr , Lumberton NC 28358-2180. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is the primary health care specialty.
Southeastern Regional Medical Center can be contacted via phone (910) 737-6418, or through Johnson, Charles Thomas via phone (910) 671-5083.
Contact Information
Primary practice address
1200 Pine Run Dr
Lumberton NC 28358-2180
Phone: (910) 737-6418
Fax: (910) 671-5732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X |
Profile Details
| NPI number | 1912337684 |
|---|---|
| LBN Legal business name | Southeastern Regional Medical Center |
| DBA Doing business as | Gibson Cc |
| Authorized official | Johnson, Charles Thomas |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 18th, 2013 |
| Last updated | Sep 8th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912337684 | NPPES |
| North Carolina | MEDICAID | 1912337684 |
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