- Practice location
- 32 London Bridge RD, Windham, NH 03087-1786
- Phone
- 612-367-7806
- Fax
- —
- Last updated
- July 29, 2024
Blue IV LLC is a healthcare organization based in Windham, NH. Blue IV LLC practices in Windham, NH. The NPI Number for Blue IV LLC is 1306624358. The current practice location address for Blue IV LLC is 32 London Bridge RD, Windham, NH 03087-1786 and can be reached out via phone at 612-367-7806.
Provider Profile Details
- NPI Number
- 1306624358
- Provider Name
- Blue IV LLC
- Provider Entity Type
- Organization
- Address
- 32 London Bridge RD, Windham, NH 03087-1786
- Phone Number
- 612-367-7806
- Primary Taxonomy
- Home Infusion · 251F00000X
- Organization Subpart
- No
- Authorized Official
- Kim Boyle · Coo · 914-512-1793
- Other Names
- Revive IV, LLC (Former Legal Business Name)
- Provider Enumeration Date
- September 20, 2023
- Last Update Date
- July 29, 2024
- Certification Date
- July 29, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 London Bridge RD
Windham, NH 03087-1786 - City
- Windham
- State
- New Hampshire
- Zip
- 03087-1786
- Phone Number
- 612-367-7806
Provider Business Mailing Address Details
- Address
- 32 London Bridge RD
Windham, NH 03087-1786 - City
- Windham
- State
- NH
- Zip
- 03087-1786
License Information
- Taxonomy
- Home Infusion · 251F00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Blue IV LLC?
The NPI number of Blue IV LLC is 1306624358. It was assigned on September 20, 2023 and is currently active in the NPPES registry.
What is the specialty of Blue IV LLC?
Blue IV LLC is registered under the primary taxonomy Home Infusion (code 251F00000X).
Where does Blue IV LLC practice?
The practice location is 32 London Bridge RD, Windham, NH 03087-1786. The office can be reached at 612-367-7806 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306624358 directly on the NPPES registry website.