| Southeastern Health Center Clarkton | |
|
9928 N. W.r. Lathan Street Clarkton NC 28433 | |
| (910) 272-3051 | |
| (910) 738-3764 |
| Full Name | Southeastern Health Center Clarkton |
|---|---|
| Speciality | Clinic/center |
| Location | 9928 N. W.r. Lathan Street, Clarkton, North Carolina |
| Authorized Official Name and Position | Charles T. Johnson (CFO) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Health Center Clarkton 2600 N Elm St Lumberton NC 28358-3011 Ph: (910) 272-3051 | Southeastern Health Center Clarkton 9928 N. W.r. Lathan Street Clarkton NC 28433 Ph: (910) 272-3051 |
| NPI Number | 1033396155 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033396155 | NPI | - | NPPES |
| 020EH | Other | NC | BCBS |
| 5908813 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H0064 (North Carolina) | Primary |
Cape Fear Valley Bma Clarkton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9858 Wr Lathan Dr, Clarkton, NC 28433 Phone: 910-647-1503 Fax: 910-647-1505 | |
Southeastern Health Center Clarkton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9928 N. W. R. Lathan St., Clarkton, NC 28433 Phone: 910-647-1503 Fax: 910-738-3764 | |
Clarkton Health Center Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E Church St, Clarkton, NC 28433 Phone: 910-647-4311 Fax: 910-647-0123 |