| Cape Fear Valley Bma Bladenboro | |
|
1106 W Seaboard St Bladenboro NC 28320-6985 | |
| (910) 863-3138 | |
| (910) 863-3597 |
| Full Name | Cape Fear Valley Bma Bladenboro |
|---|---|
| Speciality | Clinic/Center |
| Location | 1106 W Seaboard St, Bladenboro, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP CORP REVENUE CYCLE/MANAGED CARE) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Fear Valley Bma Bladenboro Po Box 40908 Attn: Pfs Provider Enrollment Fayetteville NC 28309 Ph: (910) 862-6308 | Cape Fear Valley Bma Bladenboro 1106 W Seaboard St Bladenboro NC 28320-6985 Ph: (910) 863-3138 |
| NPI Number | 1417123993 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 11/19/2023 |
| Medicare PECOS PAC ID | 6800967969 |
|---|---|
| Medicare Enrollment ID | O20131122001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417123993 | NPI | - | NPPES |
| 34-4601A | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0154 (North Carolina) | Primary |
Dr. Kim's Adult Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8100 Twisted Hickory Rd, Bladenboro, NC 28320 Phone: 910-876-7301 Fax: 910-648-5650 | |
A & N Fch-two Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20356 Hwy 410s, Bladenboro, NC 28320 Phone: 910-648-2298 |