1508925694 NPI number — MEDCARE EMERGENCY MEDICAL SERVICES, INC.

Table of content: ALEXANDER THOMAS ROOKEY HEARING AID DISPENSE (NPI 1861189276)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508925694 NPI number — MEDCARE EMERGENCY MEDICAL SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDCARE EMERGENCY MEDICAL SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508925694
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 758
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36726-0758
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-682-3911
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317B MCWILLIAMS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-682-3911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
RALPH
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
334-682-3911

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  763 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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