Organization
BLADEN HEALTHCARE, LLC
Active
Other names
Cape Fear Valley - Bladen County Hospital (Emergency Department)
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-5179
(910) 862-5129
Mailing address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-5179
(910) 862-5129
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890766M
—
NC
Enumeration date
05/05/2008
Last updated
09/22/2023
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