| Bladen Express Care | |
|
107 E Dunham St Elizabethtown NC 28337-4300 | |
| (910) 862-2122 | |
| (910) 862-1279 |
| Full Name | Bladen Express Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 E Dunham St, Elizabethtown, North Carolina |
| Authorized Official Name and Position | Joseph B Fiser (VP REV CYCLE/MANAGED CARE PLANNING) |
| Authorized Official Contact | 9106155572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bladen Express Care Po Box 40908 Fayetteville NC 28309-0908 Ph: (918) 862-2122 | Bladen Express Care 107 E Dunham St Elizabethtown NC 28337-4300 Ph: (910) 862-2122 |
| NPI Number | 1114269677 |
|---|---|
| Provider Enumeration Date | 03/22/2013 |
| Last Update Date | 11/19/2023 |
| Medicare PECOS PAC ID | 6800967969 |
|---|---|
| Medicare Enrollment ID | O20130712000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114269677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | H0154 (North Carolina) | Primary |
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