New Moon Medical, Inc

LBN: New Moon Medical, Inc
New Moon Medical, Inc is an health care organization with primary practice located at 1210 W Lexington Ave Suite B, Winchester KY 40391-1127. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. New Moon Medical, Inc can be contacted via phone (859) 737-5154, or through Worthington, Ben via phone (859) 737-5154.

Contact Information

Primary practice address
1210 W Lexington Ave Suite B Winchester KY 40391-1127
Phone: (859) 737-5154
Fax: (877) 737-1881
Website:
Map and Directions
Authorized official contact:
Name: Worthington, Ben
Phone: (859) 737-5154

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 184257 Kentucky
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1093879009
LBN Legal business name New Moon Medical, Inc
DBA Doing business as
Authorized official Worthington, Ben
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Jun 13th, 2012 - about 13 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 1093879009 NPPES
Kentucky Other 1865915 HIGHMARK BLUE SHIELD
Kentucky Other 393322 HIGHMARK BLUE SHIELD
Kentucky MEDICAID 90012758 HIGHMARK BLUE SHIELD
Kentucky Other 7436866 HIGHMARK BLUE SHIELD
Kentucky Other D 5624460001 HIGHMARK BLUE SHIELD

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