NPI

Blue IV LLC

NPI 1306624358

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2023-09-20
Last updated
2024-07-29

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
32 London Bridge Rd
City
Windham NH
Postal code
03087-1786
Phone
(612) 367-7806

Organization contact

Name
Kim Boyle
Title
COO
Phone
(914) 512-1793

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Windham, NH. 302 records in the public file.

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