BLADEN HEALTHCARE, LLC (NPI# 1750557237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750557237 |
| Entity Type | Organization |
| Organization Name | BLADEN HEALTHCARE, LLC |
| Other Organization Name | CAPE FEAR VALLEY - BLADEN COUNTY HOSPITAL (CARDIOPULMONARY DEPARTMENT) |
| 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 | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MR. DAVID MASTERSON (CEO) |
| Authorized Official Telephone | 9108625178 |
| Is Organization Subpart | Y |
| Parent Organization Name | BLADEN HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
H0154 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8907624 | 05 |
| Other Name | Type Code |
|---|---|
| Cape Fear Valley - Bladen County Hospital (Cardiopulmonary Department) | Doing Business As Name - 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 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 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 |
| 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 |
| 1689018756 | Bladen Healthcare, LLC | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2013-04-19 |
| 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 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154536548 | Healthcare Systems International Inc | Clinic/Center | 120 Helmwood Plaza Dr, Suite 103, Elizabethtown, KY 42701-2479 | 2007-05-11 |
| 1932134848 | Bladen County Hospital | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-11 |
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| 1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
| 1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
| 1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| 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.