<Unavail>
LBN: Blaze Valley Corporation
<Unavail> is an health care organization with primary practice located at 974 Piney Grove Rd , Somerset KY 42501-5476. 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.
Blaze Valley Corporation can be contacted via phone (606) 274-0156, or through Jayme-Martin, Maria L via phone (606) 274-0156.
Contact Information
Primary practice address
974 Piney Grove Rd
Somerset KY 42501-5476
Phone: (606) 274-0156
Fax: (606) 274-0234
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | HME00706 | Kentucky |
Profile Details
| NPI number | 1669761391 |
|---|---|
| LBN Legal business name | Blaze Valley Corporation |
| DBA Doing business as | <Unavail> |
| Authorized official | Jayme-Martin, Maria L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 4th, 2011 |
| Last updated | Jan 31st, 2014 - about 12 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 | 1669761391 | NPPES |
| Kentucky | MEDICAID | 7100170560 |
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