Organization
BLADEN HEALTHCARE LLC
Active
Other names
Bladen Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP REV CYCLE/MANAGED CARE PLANNING)
(910) 615-5572
Entity
Organization
Contact information
Practice address
107 E DUNHAM ST, ELIZABETHTOWN, NC 28337-4300
(910) 862-2122
(910) 862-1279
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(918) 862-2122
(910) 862-1279
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0154
NC
Other
Enumeration date
03/22/2013
Last updated
11/19/2023
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