1043220544 NPI number — SAAD MEDICAL EQUIPMENT, INC.

Table of content: (NPI 1043220544)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043220544 NPI number — SAAD MEDICAL EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAAD MEDICAL EQUIPMENT, 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:
1043220544
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1515 UNIVERSITY BLVD S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36609-2958
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-343-9600
Provider Business Mailing Address Fax Number:
251-380-3328

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6450 US HIGHWAY 90
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
SPANISH FORT
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36527-9405
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-626-4558
Provider Business Practice Location Address Fax Number:
251-626-4555
Provider Enumeration Date:
08/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FULGHAM
Authorized Official First Name:
HENRY
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
CHIEF OPERATIONS OFFICER
Authorized Official Telephone Number:
251-343-9600

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  20061754 , 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)

  • Identifier: 515-02128 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009943330 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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