Provider Demographics
NPI:1598285629
Name:BUSINESS MEDIA GROUP LLC
Entity Type:Organization
Organization Name:BUSINESS MEDIA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RIDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-618-9604
Mailing Address - Street 1:PO BOX 6265
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36302-6265
Mailing Address - Country:US
Mailing Address - Phone:334-618-9604
Mailing Address - Fax:334-323-5619
Practice Address - Street 1:1200 HILLBROOK RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-6600
Practice Address - Country:US
Practice Address - Phone:334-618-9604
Practice Address - Fax:334-323-5619
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333300000X
AL333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies