Bluegrass Home Medical
LBN: Bluegrass I.V. Care, Inc.
Bluegrass Home Medical is an health care organization with primary practice located at 1128 N Main St Suite 2, Madisonville KY 42431-1265. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty.
Bluegrass I.V. Care, Inc. can be contacted via phone (270) 825-9661, or through Russell, Gary S via phone (270) 825-2775.
Contact Information
Primary practice address
1128 N Main St Suite 2
Madisonville KY 42431-1265
Phone: (270) 825-9661
Fax: (270) 825-3692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | MG0250 | Kentucky |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1417037094 |
|---|---|
| LBN Legal business name | Bluegrass I.V. Care, Inc. |
| DBA Doing business as | Bluegrass Home Medical |
| Authorized official | Russell, Gary S RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Oct 13th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417037094 | NPPES |
| Kentucky | MEDICAID | 90060542 |
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