Boulevard Homecare Center

LBN: Boulevard Pharmacy Inc
Boulevard Homecare Center is an health care organization with primary practice located at 1117 Se Frank Phillips Blvd , Bartlesville OK 74003-4319. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Boulevard Pharmacy Inc can be contacted via phone (918) 336-2388, or through Deshazo, Kirk via phone (918) 336-2388.

Contact Information

Primary practice address
1117 Se Frank Phillips Blvd Bartlesville OK 74003-4319
Phone: (918) 336-2388
Fax: (918) 336-0016
Website:
Map and Directions
Authorized official contact:
Name: Deshazo, Kirk
Phone: (918) 336-2388

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1588733869
LBN Legal business name Boulevard Pharmacy Inc
DBA Doing business as Boulevard Homecare Center
Authorized official Deshazo, Kirk
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 8th, 2021 - about 4 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 1588733869 NPPES
Oklahoma MEDICAID 100232160B

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