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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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