Provider Demographics
NPI:1477651313
Name:MEDICAL PLACE INC.
Entity Type:Organization
Organization Name:MEDICAL PLACE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-241-0807
Mailing Address - Street 1:350 INDUSTRIAL PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117
Mailing Address - Country:US
Mailing Address - Phone:334-241-0807
Mailing Address - Fax:334-647-3079
Practice Address - Street 1:1967 WALNUT ST
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106
Practice Address - Country:US
Practice Address - Phone:334-262-4283
Practice Address - Fax:334-264-8635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0001310332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51054095OtherBCBS OF ALABAMA
AL000054095Medicaid