Blaine Payne, Inc

LBN: Blaine Payne, Inc
Blaine Payne, Inc is an health care organization with primary practice located at 180 Nw Haynes St , Madison FL 32340-2010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Blaine Payne, Inc can be contacted via phone (850) 973-1215, or through Revels, Tammey via phone (850) 973-1215.

Contact Information

Primary practice address
180 Nw Haynes St Madison FL 32340-2010
Phone: (850) 973-1215
Fax: (866) 923-4163
Website:
Map and Directions
Authorized official contact:
Name: Revels, Tammey
Phone: (850) 973-1215

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OS9255 Florida

Profile Details

NPI number 1770943409
LBN Legal business name Blaine Payne, Inc
DBA Doing business as
Authorized official Revels, Tammey
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2016
Last updated Jun 30th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770943409 NPPES
Other 37137 BCBS
MEDICAID 272752800 BCBS
Other HUMANA BCBS
Other SXJQY BCBS

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