Organization
BLADEN COUNTY HOSPITAL
Active
Other names
Bladen Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 862-5179
Entity
Organization
Contact information
Practice address
107 EAST DUNHAM STREET, ELIZABETHTOWN, NC 28337
(910) 862-1272
Mailing address
PO BOX 398, ELIZABETHTOWN, NC 28337-0398
(910) 862-1272
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211H
BCBS
NC
05
—
343428A
—
NC
Enumeration date
07/20/2006
Last updated
08/22/2020
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