{"npi":"1780831776","type":"NPI-2","status":"active","name":{"display":"Southeastern Regional Medical Center","other":[],"organization_name":"SOUTHEASTERN REGIONAL MEDICAL CENTER","authorised_official":"Charles Johnson"},"specialty":{"primary_taxonomy":"302R00000X","primary_taxonomy_description":"Health Maintenance Organization","slug":"health-maintenance-organization","schema_org_specialty":null,"all":[{"code":"302R00000X","description":"Health Maintenance Organization","primary":true,"state":"NC","license":"H0064"}]},"addresses":[{"purpose":"LOCATION","street_1":"103 W 27TH ST","city":"LUMBERTON","state":"NC","postal_code":"283583014","country_code":"US","phone":"9107383836","fax":"9107383959"},{"purpose":"MAILING","street_1":"2600 N ELM ST","city":"LUMBERTON","state":"NC","postal_code":"283583011","country_code":"US","phone":"9102723051","fax":"9107383764"}],"license":{"state":"NC","number":"H0064"},"identifiers":[{"type_code":"01","label":"Other","value":"020XY","state":"NC","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"5950384","state":"NC","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-08-21","last_updated":"2009-09-25","_meta":{"source":"NPPES","snapshot_date":"2009-09-25","doc_url":"https://findmynpi.com/api"}}