Provider Demographics
NPI:1346557287
Name:ALLETE MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:ALLETE MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUNCH
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:937-266-6981
Mailing Address - Street 1:PO BOX 259
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48805-0259
Mailing Address - Country:US
Mailing Address - Phone:937-266-6981
Mailing Address - Fax:
Practice Address - Street 1:2193 ASSOCIATION DR
Practice Address - Street 2:SUITE 600
Practice Address - City:OKEMOS
Practice Address - State:MI
Practice Address - Zip Code:48864-4903
Practice Address - Country:US
Practice Address - Phone:937-266-6981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies