Organization
COUNTY OF BLADEN OFFICE OF AUDITOR
Active
Other names
Bladen County Health Department
Organization subpart
No
Provider details
NPI number
Authorized official
DJUANA T REGISTER (ACCOUNTING TECHNICIAN III)
(910) 872-6209
Entity
Organization
Contact information
Practice address
300 MERCER ROAD, ELIZABETHTOWN, NC 28337
(910) 872-6209
Mailing address
PO BOX 189, 300 MERCER ROAD, ELIZABETHTOWN, NC 28337-0189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
NC
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07062
BLUE CROSS BLUE SHIELD
NC
05
—
3404309
—
NC
05
—
3404454
—
NC
01
—
34D0865177
CLIA
NC
Enumeration date
12/22/2006
Last updated
06/21/2018
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