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BLADEN URGENT CARE NPI 1114958576


NPI Information

NPI: 1114958576
Provider Name: BLADEN URGENT CARE

Doing Business As: SURGICAL SPECIALIST FOR BLADEN COUNTY

Classification: Clinic/Center - 261QC0050X
Entity Type: Organization

Specialization: Critical Access Hospital

Address:
300A E MCKAY ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-1272
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BLADEN URGENT CARE is a critical access hospital clinic center in Elizabethtown, NC. The provider is an outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. BLADEN URGENT CARE NPI is 1114958576. The provider is registered as an organization entity type.
The provider Is Doing Business As Surgical Specialist For Bladen County.

The provider's business location address is:

300A E MCKAY ST
ELIZABETHTOWN, NC
ZIP 28337-037
Phone: (910) 862-1272
Fax: (910) 862-5501

The provider's authorized official is Joseph Fiser .
The authorized official title is Vp Corporate Revenue Cycle/managed and has the following contact phone number (910) 615-5572.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 8/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC0050XClinic/CenterCritical Access HospitalH0154NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189015UFMEDICAIDNORTH CAROLINA
2015UFOTHERNORTH CAROLINABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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