Organization
BLADEN HEALTHCARE, LLC
Active
Parent organization
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Other names
Cape Fear Valley BMA Elizabethtown
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Authorized official
JOSEPH B FISER (VP MANAGED CARE AND REVENUE CYCLE)
(910) 615-5572
Entity
Organization
Contact information
Practice address
300A E MCKAY ST, ELIZABETHTOWN, NC 28337-9037
(910) 862-5500
(910) 862-5501
Mailing address
300-A EAST MCKAY STREET, ELIZABETHTOWN, NC 28337
(910) 862-6308
(910) 862-5501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34-3966A
—
NC
Enumeration date
05/05/2008
Last updated
01/20/2024
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