Organization
DEK HEALTH ALLIANCE
Active
Other names
Appalachian Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA GIRDLER (MANAGER)
(606) 256-4013
Entity
Organization
Contact information
Practice address
45 NEWCOMB AVE, MOUNT VERNON, KY 40456-2732
(606) 256-4013
(606) 256-1242
Mailing address
PO BOX 929, MOUNT VERNON, KY 40456-0929
(606) 256-4013
(606) 256-1242
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334076
BLUE CROSS BLUE SHIELD
KY
05
—
90007998
—
KY
Enumeration date
07/05/2005
Last updated
08/22/2020
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