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CAH341315-04 Bladen Healthcare, LLC DBA Cape Fear Valley Health System - Bladen County Hospital (Active)
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Main Details
Name
Bladen Healthcare, LLC DBA Cape Fear Valley Health System - Bladen County Hospital
Subdivision Name
CAPE FEAR VALLEY-BLADEN MEDICAL EXP
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH341315-04
Medicare Provider Number
341315
Outpatient Facility Provider Number
343449
Additional Details
Current Program Status
Active
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
12/8/2016
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Bladen County Hospital
Spencer Lowell Cummings, President
(910) 862-5149
Primary Contact
Bladen Healthcare, LLC dba CFVHS-Bladen County Hospital
Karen Gentry, Pharmacy Director
(910) 862-5157
Addresses
Street Address
107 EAST DUNHAM ST
ELIZABETHTOWN, NC 28337-9375
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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