Tri City Shoes Llc

LBN: Tri City Shoes Llc
Tri City Shoes Llc is an health care organization with primary practice located at 105 Rogers Rd , Glasgow KY 42141-1601. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Tri City Shoes Llc can be contacted via phone (270) 651-8071, or through Dunham, Randy via phone (270) 651-8071.

Contact Information

Primary practice address
105 Rogers Rd Glasgow KY 42141-1601
Phone: (270) 651-8071
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunham, Randy
Phone: (270) 651-8071

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1750389078
LBN Legal business name Tri City Shoes Llc
DBA Doing business as
Authorized official Dunham, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2005
Last updated Oct 28th, 2008 - about 18 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 1750389078 NPPES
Kentucky MEDICAID 90006255
Kentucky Other 000000577778

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