BLADEN HEALTHCARE, LLC (NPI# 1689018756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689018756 |
| Entity Type | Organization |
| Organization Name | BLADEN HEALTHCARE, LLC |
| Other Organization Name | BLADEN HOSPITALISTS |
| Practice Address |
501 S Poplar St Elizabethtown NC 28337-9375 |
| Practice Telephone | 9108625179 |
| Practice Fax Number | 9108625129 |
| Mailing Telephone | 9108625179 |
| Mailing Fax Number | 9108625129 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-22 |
| Authorized Official Name | MR. DANIEL R WEATHERLY (PRESIDENT) |
| Authorized Official Telephone | 9108625179 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLADEN HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H0154 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3401315 | 05 |
| Other Name | Type Code |
|---|---|
| Bladen Hospitalists | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700052289 | Bladen Healthcare, LLC | Clinic/Center | 300a E Mckay St, Elizabethtown, NC 28337-9037 | 2008-05-05 |
| 1417123993 | Bladen Healthcare, LLC | Clinic/Center | 1106 W Seaboard St, Bladenboro, NC 28320-6985 | 2008-05-05 |
| 1477729952 | Bladen Healthcare, LLC | Clinic/Center | 300 E Mckay Street, Elizabethtown, NC 28337 | 2008-05-05 |
| 1255507737 | Bladen Healthcare, LLC | Clinic/Center | 300-a East Mckay Street, Elizabethtown, NC 28337 | 2008-05-05 |
| 1114193695 | Bladen Healthcare, LLC | Clinic/Center | 16 3rd Street, Dublin, NC 28332 | 2008-05-05 |
| 1811163397 | Bladen Healthcare, LLC | Nurse Anesthetist, Certified Registered | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1841466323 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1750557237 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1669648143 | Bladen Healthcare, LLC | Family Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| Street Address |
501 S POPLAR ST |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337-9375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1942672845 | Paisley Emergency Physicians, LLC | Physician Assistant | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2015-10-30 |
| 1306130695 | North Carolina Em-1 Medical Services, PC | Nurse Practitioner | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-06-03 |
| 1255624706 | Elwell Ferry Inpatient Services | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2011-05-17 |
| 1194053629 | First Flight Emergency Physicians LLC | Emergency Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2009-11-20 |
| 1811163397 | Bladen Healthcare, LLC | Nurse Anesthetist, Certified Registered | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1205002789 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1841466323 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1750557237 | Bladen Healthcare, LLC | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| 1669648143 | Bladen Healthcare, LLC | Family Medicine | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1184933475 | Elizabethtown Community Hospital | General Acute Care Hospital | 66 Park Street, Suite 100, Elizabethtown, NY 12832-0000 | 2010-10-04 |
| 1558537282 | Bladen Healthcare LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2008-05-02 |
| 1588699599 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-11 |
| 1891785184 | Elizabethtown Community Hospital | General Acute Care Hospital | 75 Park St, Elizabethtown, NY 12932-2300 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647857 | Hidetaka Yanagi | General Acute Care Hospital | Section On Infectious Disease Wake Forest Univ Sm, 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-01-04 |
| 1992838593 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors Street, Sparta, NC 28675-9247 | 2007-03-13 |
| 1831241132 | Highlands-cashiers Hospital | General Acute Care Hospital | Hospital Dr Hwy 64 East, Highlands, NC 28741-0190 | 2007-01-17 |
| 1346205978 | Pungo District Hospital Corporation | General Acute Care Hospital | 202 E Water St, Belhaven, NC 27810-1450 | 2006-04-18 |
| 1316908858 | Yancey Community Medical Services, Inc. | General Acute Care Hospital | 320 Pensacola Rd, Burnsville, NC 28714-3318 | 2006-03-31 |
| 1356318968 | Alleghany Memorial Hospital | General Acute Care Hospital | 233 Doctors St, Sparta, NC 28675-9247 | 2006-03-02 |
| 1013999705 | East Carolina Health-bertie | General Acute Care Hospital | 1403 S King St, Windsor, NC 27983-9666 | 2005-11-17 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| 1093712655 | Chatham Hospital Inc | General Acute Care Hospital | 475 Progress Blvd., Siler City, NC 27344 | 2005-06-28 |
| 1699778381 | Highlands-cashiers Hospital,inc. | General Acute Care Hospital | 190 Hospital Dr, Highlands, NC 28741-7600 | 2005-05-27 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.