Provider Demographics
NPI:1366450272
Name:ALABAMA MEDICAL EQUIPMENT & SUPPLIES LLC
Entity Type:Organization
Organization Name:ALABAMA MEDICAL EQUIPMENT & SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:BONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-536-9666
Mailing Address - Street 1:502 ANDREW JACKSON WAY NE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3666
Mailing Address - Country:US
Mailing Address - Phone:256-536-9666
Mailing Address - Fax:256-536-9030
Practice Address - Street 1:502 ANDREW JACKSON WAY NE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3666
Practice Address - Country:US
Practice Address - Phone:256-536-9666
Practice Address - Fax:256-536-9030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009949775Medicaid
AL51520953OtherBCBS
AL5124650001Medicare ID - Type Unspecified