Organization · Type 2 NPI

Bladen Healthcare, LLC

Rural Health Clinic/Center · Bladenboro, NC

NPI number 1417123993 Active

Practice location

1106 W Seaboard St
Bladenboro, NC 28320-6985

Call (910) 863-3138 Map

Fax (910) 863-3597

Mailing address

PO Box 40908, Attn: Pfs Provider Enrollment
Fayetteville, NC 28309

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	H0154 (NC)

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

Another provider at this address

Heather W. Pait, PA-CPhysician Assistant Bladenboro, NC NPI 1235228446

Other rural health clinic/center providers in Bladenboro

A & N Fch-TwoRural Health Clinic/Center Bladenboro, NC NPI 1396942439

See all in Bladenboro →

NPI record

NPI: 1417123993
Entity type: Organization (Type 2)
Issued: May 5, 2008
Last updated: Nov 19, 2023
Status: Active
Subpart: Yes of Cumberland County Health System Inc

Other names

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

Authorized official

Joseph B Fiser
VP Corp Revenue Cycle/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 1417123993

Bladen Healthcare, LLC's National Provider Identifier is 1417123993, issued on May 5, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Bladenboro, NC. The record was last updated on Nov 19, 2023.