Phillips Internal Medicine

LBN: Bladen Healthcare Llc
Phillips Internal Medicine is an health care organization with primary practice located at 507 Doctor'S Drive , Elizabethtown NC 28337. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bladen Healthcare Llc can be contacted via phone (910) 862-3212, or through Ibrahim, Ayub via phone (910) 615-6994.

Contact Information

Primary practice address
507 Doctor'S Drive Elizabethtown NC 28337
Phone: (910) 862-3212
Fax: (910) 862-2263
Website:
Map and Directions
Authorized official contact:
Name: Ibrahim, Ayub
Phone: (910) 615-6994

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 15560 North Carolina

Profile Details

NPI number 1154436012
LBN Legal business name Bladen Healthcare Llc
DBA Doing business as Phillips Internal Medicine
Authorized official Ibrahim, Ayub
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jan 13th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154436012 NPPES
North Carolina MEDICAID 8967555

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