Organization
PBI INC
Active
Other names
BlueStar Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E POAGE (PRESIDENT)
(859) 277-0726
Entity
Organization
Contact information
Practice address
2035 REGENCY RD, STE 3, LEXINGTON, KY 40503-2333
(859) 277-8576
(859) 277-9470
Mailing address
2035 REGENCY RD, STE 3, LEXINGTON, KY 40503-2333
(859) 277-8576
(859) 277-9470
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220820
ANTHEM
KY
01
—
000001199218
CHA HEALTH
KY
05
—
90004326
—
KY
Enumeration date
07/11/2005
Last updated
08/22/2020
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