Provider Demographics
NPI:1497807846
Name:ALERTLINE LLC
Entity Type:Organization
Organization Name:ALERTLINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:DAVE
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-731-7102
Mailing Address - Street 1:620 S 9500 E
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84317-9748
Mailing Address - Country:US
Mailing Address - Phone:801-731-7302
Mailing Address - Fax:801-732-2173
Practice Address - Street 1:620 S 9500 E
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84317-9748
Practice Address - Country:US
Practice Address - Phone:801-731-7302
Practice Address - Fax:801-732-2173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT=========014OtherBRAG IDENTIFER
UT=========001OtherWEBER COUNTY IDENTIFIER