Phoenix Home Medical
LBN: Phoenix Rexall Drugs, Inc Dba Phoenix Home Medical
Phoenix Home Medical is an health care organization with primary practice located at 100 E Fertitta Blvd , Leesville LA 71446-4737. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Phoenix Rexall Drugs, Inc Dba Phoenix Home Medical can be contacted via phone (337) 238-5114, or through Wann-Jeane, Cynthia G via phone (337) 238-5114.
Contact Information
Primary practice address
100 E Fertitta Blvd
Leesville LA 71446-4737
Phone: (337) 238-5114
Fax: (337) 239-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Louisiana | |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X |
Profile Details
| NPI number | 1578661013 |
|---|---|
| LBN Legal business name | Phoenix Rexall Drugs, Inc Dba Phoenix Home Medical |
| DBA Doing business as | Phoenix Home Medical |
| Authorized official | Wann-Jeane, Cynthia G CPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Feb 6th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578661013 | NPPES |
| Louisiana | Other | C8065 | BLUE CROSS FOR DME |
| Louisiana | MEDICAID | 2365801 | BLUE CROSS FOR DME |
| Louisiana | Other | G7560 | BLUE CROSS FOR DME |
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