Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southeastern Regional Medical Center

Rural Health Clinic/Center in Saint Pauls, NC · enumerated 2005 · authorized official Charles Johnson, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710979430

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Registry record

Entity type Organization (Type 2)

Legal business name Southeastern Regional Medical Center

Other name <Unavail>

Practice address 128 E Broad St, Saint Pauls, NC, 28384

Phone (910) 865-5955

Fax (910) 865-3055

Enumeration date Aug 18, 2005

Last updated in NPPES Jan 27, 2009

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License H0064 (NC) Primary

Authorized official

Name Charles Johnson

Title Cfo

Phone (910) 671-5090

Other identifiers

Identifier	Type	State	Issuer
011MW	Other	NC	BLUE CROSS BLUE SHIELD
343999C	Medicaid	NC	-
343999A	Medicaid	NC	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Southeastern Regional Medical Center?

Southeastern Regional Medical Center is registered in NPPES as a Rural Health Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-01-27.