Professional Home Iv Inc

LBN: Professional Home Iv Inc
Professional Home Iv Inc is an health care organization with primary practice located at 182 S Birch St , Soldotna AK 99669-8020. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Professional Home Iv Inc can be contacted via phone (907) 262-8737, or through Henderson, James Kevin via phone (907) 262-8737.

Contact Information

Primary practice address
182 S Birch St Soldotna AK 99669-8020
Phone: (907) 262-8737
Fax: (907) 260-7405
Website:
Map and Directions
Authorized official contact:
Name: Henderson, James Kevin RPH
Phone: (907) 262-8737

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 490 Alaska
Suppliers / Long Term Care Pharmacy 3336L0003X PHAR490 Alaska

Profile Details

NPI number 1053341966
LBN Legal business name Professional Home Iv Inc
DBA Doing business as
Authorized official Henderson, James Kevin RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 27th, 2022 - 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 1053341966 NPPES
Alaska MEDICAID PH0246
Alaska MEDICAID 1021642
Alaska MEDICAID MS1723
Alaska MEDICAID 1028530
Alaska MEDICAID 1619615

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