National Provider Identifier Database

BLADEN HEALTHCARE LLC
Critical Access


Contact Information

BLADEN HEALTHCARE LLC
501 S POPLAR ST
ELIZABETHTOWN, NC28337-9375
Phone: 910-862-5179
Fax: 910-862-5129
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for BLADEN HEALTHCARE LLC

NPI Number 1548436272
Legal business name
LBN
BLADEN HEALTHCARE LLC
Authorized official JOSEPH FISER - (VP CORP REVENUE CYCLE/MANAGED CARE)
Entity Organization
Organization subpart Yes
Enumeration date 05/02/2008
Last updated 05/29/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: H0154
  • NC Medicaid: 3461315

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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