Provider Demographics
NPI:1821029778
Name:TROY MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:TROY MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:FLOYD
Authorized Official - Last Name:SMILIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-566-0548
Mailing Address - Street 1:1135 HIGHWAY 231 S
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-3001
Mailing Address - Country:US
Mailing Address - Phone:334-566-0548
Mailing Address - Fax:334-566-2682
Practice Address - Street 1:1135 HIGHWAY 231 S
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-3001
Practice Address - Country:US
Practice Address - Phone:334-566-0548
Practice Address - Fax:334-566-2682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL060777332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00054930Medicaid
AL00054930Medicaid