Provider Demographics
NPI:1336514504
Name:A2H-BLM LLC
Entity Type:Organization
Organization Name:A2H-BLM LLC
Other - Org Name:DERIDDER MEDICAL EQUIPMENT SUPPLY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-202-1911
Mailing Address - Street 1:709 MAHLON ST
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-4221
Mailing Address - Country:US
Mailing Address - Phone:337-202-1911
Mailing Address - Fax:337-202-1913
Practice Address - Street 1:709 MAHLON ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4221
Practice Address - Country:US
Practice Address - Phone:337-202-1911
Practice Address - Fax:337-202-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies