Organization
BLADEN URGENT CARE
Active
Other names
SURGICAL SPECIALIST FOR BLADEN COUNTY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH FISER (VP CORPORATE REVENUE CYCLE/MANAGED)
(910) 615-5572
Entity
Organization
Contact information
Practice address
300A E MCKAY ST, ELIZABETHTOWN, NC 28337-9037
(910) 862-1272
(910) 862-5501
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 615-6949
(910) 615-9761
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015UF
BCBS
NC
05
—
89015UF
—
NC
Enumeration date
07/05/2006
Last updated
08/21/2023
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