Provider Demographics
NPI:1710284351
Name:ALPHAMED, INC
Entity Type:Organization
Organization Name:ALPHAMED, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, ATP
Authorized Official - Phone:731-660-0060
Mailing Address - Street 1:PO BOX 10728
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38308-0112
Mailing Address - Country:US
Mailing Address - Phone:731-364-6050
Mailing Address - Fax:731-364-6055
Practice Address - Street 1:811 MORROW ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DRESDEN
Practice Address - State:TN
Practice Address - Zip Code:38225-1846
Practice Address - Country:US
Practice Address - Phone:731-364-6050
Practice Address - Fax:731-364-6055
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPHAMED, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-17
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000913332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000000913OtherHEALTH CARE FACILITIES LICENSE