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NPI Code Detail

MEDICARE: BLUE RIBBON HEALTH SERVICES, INC.

MEDICARE: BLUE RIBBON HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1306042534200FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1678341400OTHERFLCOA WAIVER

General Provider Information

NPI Number : 1063447225
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE RIBBON HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 6909 E HIGHWAY 22
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-2370
Country : US
Telephone Number : 850-874-8280
Fax Number : 850-874-1414
Provider Business Practice Location Address
First Line : 6909 E HIGHWAY 22
Second Line :
City : PANAMA CITY
State : FL
Zip : 32404-2370
Country : US
Telephone Number : 850-874-8280
Fax Number : 850-874-1414
Authorized Official
Title or Position : COMPANY SECRETARY
Name : MR. DAVID W FERRY
Credential :
Telephone Number : 850-874-8280
Provider Enumeration Date : 07/12/2006
Last Update Date : 09/18/2008

Similar Medicare Providers

1679576375 — BLUE RIBBON HEALTH SERVICES, INC.
Practice Location Address:
6909 E HIGHWAY 22
PANAMA CITY, FL
32404-2370
Practice Phone: 850-874-8280
Practice Fax: 850-874-1414
1609814276 — MRS. LORRAINE BRUCE BSW
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1114952421 — BLUE RIBBON HEALTH SERVICES, INC.
Practice Location Address:
6909 E HIGHWAY 22
PANAMA CITY, FL
32404-2370
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Practice Fax: 850-874-1414
1528093770 — BLUE RIBBON HEALTH SERVICES, INC.
Practice Location Address:
6909 E HIGHWAY 22
PANAMA CITY, FL
32404-2370
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Practice Fax: 850-874-1414
1407872310 — BLUE RIBBON HEALTH SERVICES, INC.
Practice Location Address:
6909 E HIGHWAY 22
PANAMA CITY, FL
32404-2370
Practice Phone: 850-874-8280
Practice Fax: 850-874-1414
1750573580 — MR. DONALD BRADLEY GRAHAM MSW,MPA
Practice Location Address:
6909 E HIGHWAY 22
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32404-2370
Practice Phone: 850-874-0715
Practice Fax: 850-874-0716

Directions to “BLUE RIBBON HEALTH SERVICES, INC. ” Practice Location

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