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Contact Information

BAY STATE MEDICAL, INC
23475 ROCK HAVEN WAY
SUITE 120
DULLES, VA20166-4444
 Phone: 800-643-0268
 Fax: 800-643-3577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for BAY STATE MEDICAL, INC

NPI # 1245460039
LBN Legal business name BAY STATE MEDICAL, INC
Authorized official DANIEL SCHAUB - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2009
Last updated 10/17/2022 - About 4 years ago
Identifiers
VA License # 0206009130
VA Other 0414530002 MEDICARE PTAN
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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