# BLADEN HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cape Fear Valley - Bladen County Hospital (Emergency Department)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205002789
- **Authorized official:** JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
- **Authorized official phone:** (910) 615-5572

## Contact information

- **Practice address:** 501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
- **Practice address phone:** (910) 862-5179
- **Practice address fax:** (910) 862-5129
- **Mailing address:** 501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
- **Mailing address phone:** (910) 862-5179
- **Mailing address fax:** (910) 862-5129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | H0154 | NC | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 09/22/2023