Cape Fear Valley Bma Elizabethtown

LBN: Bladen Healthcare, Llc
Cape Fear Valley Bma Elizabethtown is an health care organization with primary practice located at 300A E Mckay St , Elizabethtown NC 28337-9037. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Bladen Healthcare, Llc can be contacted via phone (910) 862-5500, or through Fiser, Joseph B via phone (910) 615-5572.

Contact Information

Primary practice address
300A E Mckay St Elizabethtown NC 28337-9037
Phone: (910) 862-5500
Fax: (910) 862-5501
Website:
Map and Directions
Authorized official contact:
Name: Fiser, Joseph B
Phone: (910) 615-5572

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X H0154 North Carolina

Profile Details

NPI number 1255507737
LBN Legal business name Bladen Healthcare, Llc
DBA Doing business as Cape Fear Valley Bma Elizabethtown
Authorized official Fiser, Joseph B
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2008
Last updated Jan 20th, 2024 - about last year

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 1255507737 NPPES
North Carolina MEDICAID 34-3966A

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