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Contact Information

KPH HEALTHCARE SERVICES, INC.
600 BLAIR PARK RD STE 195
WILLISTON, VT05495-7529
 Phone: 802-878-9116
 Fax: 802-878-9273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KPH HEALTHCARE SERVICES, INC.

NPI Number 1043327224
LBN Legal business name KPH HEALTHCARE SERVICES, INC.
Authorized official ELIZABETH MARLOW - (THIRD PARTY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2006
Last updated 07/03/2024 - More than a year ago
Identifiers
VT License # 0380003336
VT Medicaid 1009392
Other 4704006 OTHER ID NUMBER-COMMERCIAL NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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