Active NPI
Blue Sky Unlimited, LLC
- Durable Medical Equipment & Medical Supplies
- Belcourt, ND
National Provider Identifier
1164824611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BLUE SKY UNLIMITED, LLC
- Practice address
- 4580 Bia Rd 12
Belcourt, ND 58316-1781 - Phone
- (701) 278-5461
- NPI assigned
- Sep 16, 2014
- Last updated
- Sep 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Denise Jo Marcellais
- Title
- Owner
- Phone
- (701) 278-5461
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4580 Bia Rd 12
Belcourt, ND 58316-1781
Mailing address
PO Box 1781
Belcourt, ND 58316-1781
Phone (701) 278-5461
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410825600000",
"number": "1164824611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1781",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583161781",
"telephone_number": "701-278-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 BIA RD 12",
"city": "BELCOURT",
"state": "ND",
"postal_code": "583161781",
"telephone_number": "701-278-5461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE SKY UNLIMITED, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-16",
"last_updated": "2014-09-16",
"status": "A",
"authorized_official_last_name": "MARCELLAIS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "JO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-278-5461",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belcourt, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.