1770619702 NPI number — NORTH ALABAMA RESPIRATORY EQUIPMENT, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770619702 NPI number — NORTH ALABAMA RESPIRATORY EQUIPMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH ALABAMA RESPIRATORY 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:
6
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:
1770619702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1871 AL HIGHWAY 157
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CULLMAN
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35058-0601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-734-5234
Provider Business Mailing Address Fax Number:
256-739-9440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1912 CHEROKEE AVE SW
Provider Second Line Business Practice Location Address:
SUITE 1800
Provider Business Practice Location Address City Name:
CULLMAN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35055-5595
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-734-8100
Provider Business Practice Location Address Fax Number:
256-734-2881
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PATTON
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
256-734-5234

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  243 , 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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