Provider Demographics
NPI:1093761561
Name:HEATH HARVEY'S INC. OF ALABAMA
Entity Type:Organization
Organization Name:HEATH HARVEY'S INC. OF ALABAMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CO
Authorized Official - Phone:334-745-4691
Mailing Address - Street 1:2202 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-6062
Mailing Address - Country:US
Mailing Address - Phone:334-745-4691
Mailing Address - Fax:334-745-2090
Practice Address - Street 1:2202 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6062
Practice Address - Country:US
Practice Address - Phone:334-745-4691
Practice Address - Fax:334-745-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL53133OtherBLUE CROSS BLUE SHIELD AL
AL53133OtherBLUE CROSS BLUE SHIELD AL