1285089409 NPI number — ALABAMA MOBILITY AND DME LLC

Table of content: (NPI 1285089409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285089409 NPI number — ALABAMA MOBILITY AND DME LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA MOBILITY AND DME LLC
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:
1285089409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/25/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 832
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FOLEY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36536-0832
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-943-3606
Provider Business Mailing Address Fax Number:
251-943-0121

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1313 S COMMERCIAL DR
Provider Second Line Business Practice Location Address:
STE 102B
Provider Business Practice Location Address City Name:
FOLEY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36535-2402
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-943-3606
Provider Business Practice Location Address Fax Number:
251-943-0121
Provider Enumeration Date:
04/25/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILLIS
Authorized Official First Name:
SHIRLEY
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
251-943-3606

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1431 , 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)