Southeastern Regional Medical Center
NPI 1194720466 · Rural Health Clinic/Center · Fairmont, NC
Southeastern Regional Medical Center is a Rural Health Clinic/Center organization in Fairmont, NC (NPI 1194720466).
Provider details
- NPI number
- 1194720466
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Johnson, Vice President Finance(910) 671-5090
- License
- H0064 (NC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fairmont Medical Clinic
Registry dates
- Enumerated
- 2005-06-14
- Last updated
- 2009-01-27
Frequently asked questions
- What is Southeastern Regional Medical Center's NPI number?
- Southeastern Regional Medical Center's National Provider Identifier (NPI) is 1194720466, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Regional Medical Center?
- Southeastern Regional Medical Center is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeastern Regional Medical Center located?
- Southeastern Regional Medical Center's practice location on file with NPPES is 101 N Walnut St, Fairmont, NC 28340-1951.
- What is Southeastern Regional Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Regional Medical Center is (910) 628-0655.
- Who is the authorized official for Southeastern Regional Medical Center?
- The authorized official listed on Southeastern Regional Medical Center's NPPES record is Charles Johnson, Vice President Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Regional Medical Center's NPI active?
- Yes — Southeastern Regional Medical Center's NPI (1194720466) is active in the NPPES registry as of the last update on 2009-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.