Provider Demographics
NPI:1679806905
Name:MEDICAL RESOURCES, INC.
Entity Type:Organization
Organization Name:MEDICAL RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-521-7337
Mailing Address - Street 1:1511 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1612
Mailing Address - Country:US
Mailing Address - Phone:205-521-7337
Mailing Address - Fax:205-521-0585
Practice Address - Street 1:250 GOVERNORS DR SE
Practice Address - Street 2:SUITE H
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-2728
Practice Address - Country:US
Practice Address - Phone:205-521-7337
Practice Address - Fax:205-521-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-18
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL900302332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009949560Medicaid
AL51097510OtherBCBSAL
AL3948970001Medicare NSC