NPIMap

Organization Active NPI

Dek Health Alliance

Doing business as Appalachian Medical

  • Durable Medical Equipment & Medical Supplies
  • Mount Vernon, KY
National Provider Identifier
1285631259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEK HEALTH ALLIANCE
Doing business as
Appalachian Medical
Practice address
45 Newcomb Ave
Mount Vernon, KY 40456-2732
Phone
(606) 256-4013
Fax
(606) 256-1242
NPI assigned
Jul 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebecca Girdler
Title
Manager
Phone
(606) 256-4013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

45 Newcomb Ave
Mount Vernon, KY 40456-2732

Mailing address

PO Box 929
Mount Vernon, KY 40456-0929
Phone (606) 256-4013

Other identifiers 2

IdentifierTypeStateIssuer
90007998MedicaidKY
000000334076OtherKYBLUE CROSS BLUE SHIELD

Other names 1

  • Appalachian Medical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285631259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404560929",
            "telephone_number": "606-256-4013",
            "fax_number": "606-256-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562732",
            "telephone_number": "606-256-4013",
            "fax_number": "606-256-1242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEK HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRDLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-256-4013",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90007998",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000334076",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appalachian Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.