Provider Demographics
NPI:1881675247
Name:ALPHA MEDICAL AIDS, INC.
Entity Type:Organization
Organization Name:ALPHA MEDICAL AIDS, INC.
Other - Org Name:ALPHA MEDICAL CONTIN-U-CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EBBEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DEATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-971-7300
Mailing Address - Street 1:3506 SEMINOLE TRAIL
Mailing Address - Street 2:ROUTE 29
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8665
Mailing Address - Country:US
Mailing Address - Phone:434-971-7300
Mailing Address - Fax:434-710-4033
Practice Address - Street 1:3506 SEMINOLE TRAIL
Practice Address - Street 2:ROUTE 29
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8665
Practice Address - Country:US
Practice Address - Phone:434-971-7300
Practice Address - Fax:434-971-3739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA224574OtherSOUTHERN HEALTH
VA009132597Medicaid
VA051686OtherANTHEM BCBS PROVIDER #
VA123764OtherSOUTHERN HEALTH PROVIDER
VA322965OtherANTHEM BCBS MEDIGAP #
VA009133054Medicaid
VA0206450001Medicare NSC