Organization
BLADEN HEALTHCARE, LLC
Active
Organization
BLADEN HEALTHCARE, LLC
Active
Parent organization
BLADEN HEALTHCARE, LLC
Other names
Cape Fear Valley - Bladen County Hospital (Cardiopulmonary Department)
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLADEN HEALTHCARE, LLC
Authorized official
MR. DAVID MASTERSON (CEO)
(910) 862-5178
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
261QM1300X
Multi-Specialty Clinic/Center
Primary
H0154
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8907624
—
NC
Enumeration date
05/05/2008
Last updated
05/05/2008
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