Provider Demographics
NPI:1336466317
Name:U.S. ALERT
Entity Type:Organization
Organization Name:U.S. ALERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-272-0303
Mailing Address - Street 1:22131 COUNTY ROAD 1560
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:OK
Mailing Address - Zip Code:74871-6471
Mailing Address - Country:US
Mailing Address - Phone:580-272-0303
Mailing Address - Fax:801-659-4116
Practice Address - Street 1:22131 COUNTY ROAD 1560
Practice Address - Street 2:
Practice Address - City:STONEWALL
Practice Address - State:OK
Practice Address - Zip Code:74871-6471
Practice Address - Country:US
Practice Address - Phone:580-272-0303
Practice Address - Fax:801-659-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-29
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK774302R00000X, 305R00000X, 315D00000X, 332B00000X, 332BC3200X, 333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333300000XSuppliersEmergency Response System Companies