NPIMap

Organization Active NPI

Bladen County Health Dept

  • Public Health or Welfare Agency
  • Elizabethtown, NC
National Provider Identifier
1760546006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
133358 Issued in NC
Legal business name
BLADEN COUNTY HEALTH DEPT
Practice address
300 Mercer Road
Elizabethtown, NC 28337
Phone
(910) 862-6900
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Clara H Johnson, RN
Title
RN
Phone
(910) 872-6225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 133358 NC Primary

Addresses

Primary practice location

300 Mercer Road
Elizabethtown, NC 28337

Mailing address

300 Mercer Road
Elizabethown, NC 28337-0189
Phone (910) 862-6900

Other identifiers 1

IdentifierTypeStateIssuer
CJ03MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Bladen County Health Dep7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760546006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MERCER ROAD",
            "city": "ELIZABETHOWN",
            "state": "NC",
            "postal_code": "283370189",
            "telephone_number": "910-862-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MERCER ROAD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "28337",
            "telephone_number": "910-862-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLADEN COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "910-872-6225",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "133358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CJ03",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.