BLADEN HEALTHCARE LLC NPI 1477729952

NPI Information

NPI: 1477729952
Provider Name: BLADEN HEALTHCARE, LLC

Doing Business As: CAPE FEAR VALLEY WOMEN'S HEALTH SPECIALISTS

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

Specialization: Critical Access Hospital

Address:
300A E MCKAY ST
ELIZABETHTOWN, NC
ZIP 28337
Phone: (910) 862-6672
Get Directions

BLADEN HEALTHCARE, LLC 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 HEALTHCARE, LLC NPI is 1477729952. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cape Fear Valley Women's Health Specialists.

The provider's business location address is:

300A E MCKAY ST
ELIZABETHTOWN, NC
ZIP 28337-037
Phone: (910) 862-6672
Fax: (910) 862-6674

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 1/20/2024.

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	207V00000X	Obstetrics & Gynecology				No
2	261QC0050X	Clinic/Center	Critical Access Hospital	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	89015XJ	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: 5/5/2024

NPI Synchronization or Removal

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