BLADEN COUNTY HOSPITAL – NPI #1720013162
Clinic/Center

BLADEN COUNTY HOSPITAL is an AHC clinic located in ELIZABETHTOWN, NC. NPPES has assigned the NPI number 1720013162 to BLADEN COUNTY HOSPITAL on July 12, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0002X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Emergency Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLADEN COUNTY HOSPITAL below.

NPI Profile for
BLADEN COUNTY HOSPITAL

NPI Number
1720013162
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLADEN COUNTY HOSPITAL
Primary location
501 S POPLAR ST
ELIZABETHTOWN, NC 28337-9375
Phone: (910) 862-5100 Fax: (910) 862-1238
Mailing address
PO BOX 398
ELIZABETHTOWN, NC 28337-0398
Phone: (910) 862-5100 Fax: (910) 862-1238
Organization Subpart
No
Authorized Official
DAVID MASTERSON
CEO
Phone: (910) 862-5179
Updated
Identifiers

Identifiers for BLADEN COUNTY HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS -ER PHYSICIANNC0766M
MEDICAIDNC890766M
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0002X
- Clinic/Center / Emergency Care (Primary)
NC H0154

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.