BLUEGRASS ORTHOTICS LLC NPI 1518047596

NPI Information

NPI: 1518047596
Provider Name: BLUEGRASS ORTHOTICS, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1116 NORTH MAIN STREET
WILLIAMSTOWN, KY
ZIP 41097
Phone: (859) 824-1000
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BLUEGRASS ORTHOTICS, LLC is a customized equipment durable medical equipment medical supplies in Williamstown, KY. BLUEGRASS ORTHOTICS, LLC NPI is 1518047596. The provider is registered as an organization entity type.

The provider's business location address is:

1116 NORTH MAIN STREET
WILLIAMSTOWN, KY
ZIP 41097-503
Phone: (859) 824-1000
Fax: (859) 824-1555

The provider's authorized official is Georgia A Marshall .
The authorized official title is Owner and has the following contact phone number (859) 824-1000.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 10/24/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	No
4	335E00000X	Prosthetic/Orthotic Supplier		No
5	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5843400001	MEDICARE NSC	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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