Provider Demographics
NPI:1417948258
Name:DME SERVICES, LLC.
Entity Type:Organization
Organization Name:DME SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:DARNELL
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-591-4792
Mailing Address - Street 1:3600 5TH AVE S STE A
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-2402
Mailing Address - Country:US
Mailing Address - Phone:205-591-4792
Mailing Address - Fax:205-591-3734
Practice Address - Street 1:3600 5TH AVE S STE A
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35222-2402
Practice Address - Country:US
Practice Address - Phone:205-591-4792
Practice Address - Fax:205-591-3734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL05025623332B00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009934003Medicaid
AL51529283OtherBLUE CROSS BLUE SHIELD
AL009934003Medicaid