BLADEN COUNTY HOSPITAL (NPI# 1750311452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750311452 |
| Entity Type | Organization |
| Organization Name | BLADEN COUNTY HOSPITAL |
| Other Organization Name | WOMENS HEALTH SPECIALIST FOR BLADEN COUNTY |
| Practice Address |
300 East Mckay Street Suite F Elizabethtown NC 28337 |
| Mailing Address |
Po Box 398 Elizabethtown NC 28337-0398 |
| Practice Telephone | 9108626672 |
| Practice Fax Number | 9108626674 |
| Mailing Telephone | 9108626672 |
| Mailing Fax Number | 9108626674 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID MASTERSON (CEO) |
| Authorized Official Telephone | 9108625179 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
H0154 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 015XJ | 01 |
| NC | 89015XJ | 05 |
| Other Name | Type Code |
|---|---|
| WOMENS HEALTH SPECIALIST FOR BLADEN COUNTY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164442364 | Bladen County Hospital | Clinic/Center | 107 East Dunham Street, Elizabethtown, NC 28337 | 2006-07-20 |
| 1114958576 | Bladen County Hospital | Clinic/Center | 103 East Dunham Street, Elizabethtown, NC 28337 | 2006-07-05 |
| 1598795502 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-04 |
| 1720013162 | Bladen County Hospital | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-12 |
| 1699700039 | Bladen County Hospital | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-12 |
| 1932134848 | Bladen County Hospital | Clinic/Center | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-11 |
| 1588699599 | Bladen County Hospital | General Acute Care Hospital | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-11 |
| 1578597928 | Bladen County Hospital | Nurse Anesthetist, Certified Registered | 501 S Poplar St, Elizabethtown, NC 28337-9375 | 2006-07-10 |
| Street Address |
300 EAST MCKAY STREET SUITE F |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| 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 | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700052289 | Bladen Healthcare, LLC | Clinic/Center | 300a E Mckay St, Elizabethtown, NC 28337-9037 | 2008-05-05 |
| 1477729952 | Bladen Healthcare, LLC | Clinic/Center | 300 E Mckay Street, Elizabethtown, NC 28337 | 2008-05-05 |
| 1114958576 | Bladen County Hospital | Clinic/Center | 103 East Dunham Street, Elizabethtown, NC 28337 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194016055 | J. Arthur Dosher Memorial Hospital | Clinic/Center | 11 E 9th St, Southport, NC 28461-3083 | 2011-04-27 |
| 1215054549 | Davie County Hospital Primary Care | Clinic/Center | 223 Hospital St, Mocksville, NC 27028-2038 | 2007-03-23 |
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
Please comment or provide details below to improve the information on BLADEN COUNTY HOSPITAL.
| 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.