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Contact Information

BLADEN HEALTHCARE LLC
507 DOCTOR'S DRIVE
ELIZABETHTOWN, NC28337
 Phone: 910-862-3212
 Fax: 910-862-2263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BLADEN HEALTHCARE LLC

NPI # 1154436012
LBN Legal business name BLADEN HEALTHCARE LLC
Authorized official AYUB IBRAHIM - (REIMBURSEMENT DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/20/2006
Last updated 01/13/2010 - About 16 years ago
Identifiers
NC License # 15560
NC Medicaid 8967555
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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