Provider Demographics
NPI:1346384757
Name:ALIGN MEDICAL CONCEPTS
Entity Type:Organization
Organization Name:ALIGN MEDICAL CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALDERBACH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:641-423-9487
Mailing Address - Street 1:840 12TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-1924
Mailing Address - Country:US
Mailing Address - Phone:641-423-9487
Mailing Address - Fax:
Practice Address - Street 1:840 12TH ST NW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1924
Practice Address - Country:US
Practice Address - Phone:641-423-9487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment