Provider Demographics
NPI:1447066188
Name:BLAND MINISTRY CENTER, INC.
Entity type:Organization
Organization Name:BLAND MINISTRY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL PROJECTS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-688-4701
Mailing Address - Street 1:PO BOX 211
Mailing Address - Street 2:
Mailing Address - City:BLAND
Mailing Address - State:VA
Mailing Address - Zip Code:24315-0211
Mailing Address - Country:US
Mailing Address - Phone:276-688-4701
Mailing Address - Fax:
Practice Address - Street 1:8487 S SCENIC HWY
Practice Address - Street 2:
Practice Address - City:BLAND
Practice Address - State:VA
Practice Address - Zip Code:24315-4691
Practice Address - Country:US
Practice Address - Phone:276-688-4701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-07
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No122300000XDental ProvidersDentistGroup - Single Specialty