Bristol Home Infusion

LBN: Moss Holland Enterprises Llc
Bristol Home Infusion is an health care organization with primary practice located at 18377 Westinghouse Rd , Abingdon VA 24210-7933. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Moss Holland Enterprises Llc can be contacted via phone (276) 676-3468, or through Tidwell, Tracy via phone (276) 676-3468.

Contact Information

Primary practice address
18377 Westinghouse Rd Abingdon VA 24210-7933
Phone: (276) 676-3468
Fax: (276) 451-0175
Website:
Map and Directions
Authorized official contact:
Name: Tidwell, Tracy
Phone: (276) 676-3468

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 0201003801 Virginia

Profile Details

NPI number 1801979935
LBN Legal business name Moss Holland Enterprises Llc
DBA Doing business as Bristol Home Infusion
Authorized official Tidwell, Tracy
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jun 6th, 2024 - about 3 months 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 1801979935 NPPES
Virginia MEDICAID 008519684
Virginia Other 2105458

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