Provider Demographics
NPI:1861724452
Name:BLUE HORSESHOE HEALTHCARE INC
Entity type:Organization
Organization Name:BLUE HORSESHOE HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKHOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-399-1423
Mailing Address - Street 1:122 N CARDINAL DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3803
Mailing Address - Country:US
Mailing Address - Phone:910-399-1423
Mailing Address - Fax:910-399-2423
Practice Address - Street 1:122 N CARDINAL DR
Practice Address - Street 2:SUITE 103
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3803
Practice Address - Country:US
Practice Address - Phone:910-399-1423
Practice Address - Fax:910-399-2423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-05
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies