Provider Demographics
NPI:1104827542
Name:SAUNDERS MEDICAL INC
Entity Type:Organization
Organization Name:SAUNDERS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INS/OFC MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BB
Authorized Official - Middle Name:S
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-585-2154
Mailing Address - Street 1:4160 COUNTY ROAD 53
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36310-6456
Mailing Address - Country:US
Mailing Address - Phone:334-585-2154
Mailing Address - Fax:334-585-6438
Practice Address - Street 1:343 JAMES ST
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-2014
Practice Address - Country:US
Practice Address - Phone:334-445-9811
Practice Address - Fax:334-585-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL607332BC3200X
AL111528333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100003489Medicaid
AL000037536Medicaid
AL51007468OtherBCBS PROVIDER #
AL000037536Medicaid
AL000037536Medicaid