CCN: 340050 NPI: 1427030774 Organization

SOUTHEASTERN REGIONAL MEDICAL CENTER

300 W 27TH ST
LUMBERTON, NC 283583075

Contact Information

Phone 9106715000
Fax 9106715858
Enumeration Date 2005-11-14
Last Updated 2023-06-23

Taxonomies

Code: 282NR1301X License State: NC License: H0064
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.309

medicaidRatio 0.3839

uncompensatedCareAmount 2981.08

internsToBedsRatio 0.4238

vbpAdjustment 1.0089632403

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.314

medicaidRatio 0.3579

uncompensatedCareAmount 2981.08

internsToBedsRatio 0.4238

vbpAdjustment 1.0089632403

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.314

medicaidRatio 0.3579

uncompensatedCareAmount 2981.08

internsToBedsRatio 0.4238

vbpAdjustment 1.0089632403

hhrAdjustment 0.9958

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.314

medicaidRatio 0.3579

uncompensatedCareAmount 2500.75

internsToBedsRatio 0.4238

vbpAdjustment 1.0030455323

hhrAdjustment 0.9913

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.314

medicaidRatio 0.3579

uncompensatedCareAmount 2500.75

internsToBedsRatio 0.4238

vbpAdjustment 1.0030455323

hhrAdjustment 0.9913

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.314

medicaidRatio 0.3109

uncompensatedCareAmount 2500.75

internsToBedsRatio 0.3764

vbpAdjustment 1.0030455323

hhrAdjustment 0.9913

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.313

medicaidRatio 0.3109

uncompensatedCareAmount 2500.75

internsToBedsRatio 0.3764

vbpAdjustment 1.0030455323

hhrAdjustment 0.9913

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.313

medicaidRatio 0.3109

uncompensatedCareAmount 2500.75

internsToBedsRatio 0.3764

vbpAdjustment 1.0030455323

hhrAdjustment 0.9913

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.313

medicaidRatio 0.3109

uncompensatedCareAmount 1736.47

internsToBedsRatio 0.3764

vbpAdjustment 1.0106070015

hhrAdjustment 0.9924

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.313

medicaidRatio 0.3109

uncompensatedCareAmount 1736.47

internsToBedsRatio 0.3764

vbpAdjustment 1.0106070015

hhrAdjustment 0.9924

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.336

medicaidRatio 0.3075

uncompensatedCareAmount 1736.47

internsToBedsRatio 0.3033

vbpAdjustment 1.0106070015

hhrAdjustment 0.9924

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.336

medicaidRatio 0.3075

uncompensatedCareAmount 1736.47

internsToBedsRatio 0.3033

vbpAdjustment 1.0106070015

hhrAdjustment 0.9924

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.336

medicaidRatio 0.3075

uncompensatedCareAmount 1736.47

internsToBedsRatio 0.3033

vbpAdjustment 1.0106070015

hhrAdjustment 0.9924

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.336

medicaidRatio 0.3075

uncompensatedCareAmount 1228.81

internsToBedsRatio 0.3033

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.2795

uncompensatedCareAmount 1228.81

internsToBedsRatio 0.3033

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.2795

uncompensatedCareAmount 1228.81

internsToBedsRatio 0.3033

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.2795

uncompensatedCareAmount 1228.81

internsToBedsRatio 0.3033

hhrAdjustment 0.9986

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.2795

uncompensatedCareAmount 932.45

internsToBedsRatio 0.3033

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.278

uncompensatedCareAmount 932.45

internsToBedsRatio 0.316

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.285

medicaidRatio 0.278

uncompensatedCareAmount 932.45

internsToBedsRatio 0.316

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.265

medicaidRatio 0.278

uncompensatedCareAmount 932.45

internsToBedsRatio 0.316

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.265

medicaidRatio 0.278

uncompensatedCareAmount 932.45

internsToBedsRatio 0.316

hhrAdjustment 1.0

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.265

medicaidRatio 0.278

uncompensatedCareAmount 1455.01

internsToBedsRatio 0.316

vbpAdjustment 1.0082276896

hhrAdjustment 0.9982

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.265

medicaidRatio 0.278

uncompensatedCareAmount 1455.01

internsToBedsRatio 0.316

vbpAdjustment 1.0082276896

hhrAdjustment 0.9982

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.265

medicaidRatio 0.278

uncompensatedCareAmount 1455.01

internsToBedsRatio 0.316

vbpAdjustment 1.0082276896

hhrAdjustment 0.9982

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.252

medicaidRatio 0.3073

uncompensatedCareAmount 1455.01

internsToBedsRatio 0.3358

vbpAdjustment 1.0082276896

hhrAdjustment 0.9982

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.252

medicaidRatio 0.3073

uncompensatedCareAmount 1455.01

internsToBedsRatio 0.3989

vbpAdjustment 1.0082276896

hhrAdjustment 0.9982

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.252

medicaidRatio 0.3073

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.3989

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.252

medicaidRatio 0.3073

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.3161

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2237

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.1859

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2237

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.1859

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2237

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.1859

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 0.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2237

uncompensatedCareAmount 1048.02

internsToBedsRatio 0.1859

vbpAdjustment 1.002140658

hhrAdjustment 0.9868

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2237

uncompensatedCareAmount 933.12

internsToBedsRatio 0.1859

vbpAdjustment 1.0004788491

hhrAdjustment 0.979

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.273

medicaidRatio 0.2409

uncompensatedCareAmount 933.12

internsToBedsRatio 0.1075

vbpAdjustment 1.0004788491

hhrAdjustment 0.979

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.269

medicaidRatio 0.2409

uncompensatedCareAmount 933.12

internsToBedsRatio 0.1075

vbpAdjustment 1.0004788491

hhrAdjustment 0.979

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.269

medicaidRatio 0.2409

uncompensatedCareAmount 933.12

internsToBedsRatio 0.1075

vbpAdjustment 1.0004788491

hhrAdjustment 0.979

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.269

medicaidRatio 0.2409

uncompensatedCareAmount 933.12

internsToBedsRatio 0.1075

vbpAdjustment 1.0004788491

hhrAdjustment 0.979

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.269

medicaidRatio 0.2409

uncompensatedCareAmount 824.91

internsToBedsRatio 0.1075

vbpAdjustment 1.0035813635

hhrAdjustment 0.9738

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.272

medicaidRatio 0.2425

uncompensatedCareAmount 824.91

internsToBedsRatio 0.1075

vbpAdjustment 1.0035813635

hhrAdjustment 0.9738

censusDivision 3

cbsaActualGeographicLocation 34

providerType 17

caseMixIndex 1.0301

operatingCostToChargeRatio 0.272

medicaidRatio 0.2425

uncompensatedCareAmount 824.91

internsToBedsRatio 0.1075

vbpAdjustment 1.0035813635

hhrAdjustment 0.9738

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 0.38

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.219

deviceCostToChargeRatio 0.175

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.102

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.234

deviceCostToChargeRatio 0.102

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.233

deviceCostToChargeRatio 0.102

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.314

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.314

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.258

deviceCostToChargeRatio 0.315

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.316

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.316

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.317

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.235

deviceCostToChargeRatio 0.317

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.306

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.231

deviceCostToChargeRatio 0.306

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.27

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

cbsaActualGeographicLocation 34

providerType 17

operatingCostToChargeRatio 0.208

deviceCostToChargeRatio 0.27

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 11502

localityCode 00

SOUTHEASTERN REGIONAL MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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