Provider Demographics
NPI:1336131838
Name:ALLEGRO MOBILITY INC
Entity Type:Organization
Organization Name:ALLEGRO MOBILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SONGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-629-2888
Mailing Address - Street 1:PO BOX 427
Mailing Address - Street 2:
Mailing Address - City:CARBON
Mailing Address - State:TX
Mailing Address - Zip Code:76435-0427
Mailing Address - Country:US
Mailing Address - Phone:254-629-2888
Mailing Address - Fax:254-629-0998
Practice Address - Street 1:201 S LAMAR ST
Practice Address - Street 2:
Practice Address - City:EASTLAND
Practice Address - State:TX
Practice Address - Zip Code:76448-2711
Practice Address - Country:US
Practice Address - Phone:254-629-2888
Practice Address - Fax:254-629-0998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0055694332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155775302Medicaid
TX155775301Medicaid
OK200010020AMedicaid
AR158841741Medicaid
TX4370990001Medicare NSC