Organization · Type 2 NPI

Bladen Healthcare LLC

Rural Health Clinic/Center · Clarkton, NC

NPI number 1043759335 Active

Practice location

9858 N Wr Latham Dr
Clarkton, NC 28433-9341

Call (910) 862-1217 Map

Fax (910) 647-0208

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

2 other providers at this address

Allison M. Priest, FNPFamily Nurse Practitioner Clarkton, NC NPI 1225366453
Stephen Burney Bridgers, MDFamily Medicine Physician Clarkton, NC NPI 1922197136

NPI record

NPI: 1043759335
Entity type: Organization (Type 2)
Issued: Feb 20, 2017
Last updated: Jan 15, 2026
Status: Active
Subpart: Yes of Cumberland County Health System Inc

Other names

<unavail>
Cape Fear Valley Bma Clarkton · doing business as

Authorized official

Joseph Barton Fiser
VP Corp Revenue and Managed Care
(910) 615-5572

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043759335

Bladen Healthcare LLC's National Provider Identifier is 1043759335, issued on Feb 20, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Clarkton, NC. The record was last updated on Jan 15, 2026.