BLADEN HEALTHCARE LLC NPI 1205002789

NPI Information

NPI: 1205002789
Provider Name: BLADEN HEALTHCARE, LLC

Doing Business As: CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL (EMERGENCY DEPARTMENT)

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
501 S POPLAR ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-5179
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BLADEN HEALTHCARE, LLC is an emergency care clinic center in Elizabethtown, NC. BLADEN HEALTHCARE, LLC NPI is 1205002789. The provider is registered as an organization entity type.
The provider Is Doing Business As Cape Fear Valley - Bladen County Hospital (emergency Department).

The provider's business location address is:

501 S POPLAR ST
ELIZABETHTOWN, NC
ZIP 28337-375
Phone: (910) 862-5179
Fax: (910) 862-5129

The provider's authorized official is Joseph B Fiser .
The authorized official title is Vp Managed Care And Revenue Cycle and has the following contact phone number (910) 615-5572.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 9/22/2023.

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
1	261QE0002X	Clinic/Center	Emergency Care	H0154	NORTH CAROLINA	Yes

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
1	890766M	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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