Organization
BLADEN COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 862-5179
Entity
Organization
Contact information
Practice address
501 S POPLAR ST, ELIZABETHTOWN, NC 28337-9375
(910) 862-5100
(910) 862-1238
Mailing address
PO BOX 398, ELIZABETHTOWN, NC 28337-0398
(910) 862-5100
(910) 862-1238
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00054
BCBS HOSPITAL
NC
05
—
3401315
—
NC
Enumeration date
07/04/2006
Last updated
04/20/2008
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