Provider Demographics
NPI:1255464020
Name:ADVANCED MEDICAL ALERT, INC.
Entity Type:Organization
Organization Name:ADVANCED MEDICAL ALERT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DUERLER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:409-840-2077
Mailing Address - Street 1:1130 LINDBERGH DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-4124
Mailing Address - Country:US
Mailing Address - Phone:409-840-2077
Mailing Address - Fax:409-840-5250
Practice Address - Street 1:1130 LINDBERGH DR
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-4124
Practice Address - Country:US
Practice Address - Phone:409-840-2077
Practice Address - Fax:409-840-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP00126146D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Single Specialty