Provider Demographics
NPI:1942311873
Name:ANCILLARY MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:ANCILLARY MANAGEMENT SERVICES, INC.
Other - Org Name:CV MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:C
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-693-2484
Mailing Address - Street 1:437 BELCHER ST
Mailing Address - Street 2:PO BOX 9
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042-2946
Mailing Address - Country:US
Mailing Address - Phone:205-926-6855
Mailing Address - Fax:205-926-3293
Practice Address - Street 1:437 BELCHER ST
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042-2946
Practice Address - Country:US
Practice Address - Phone:205-926-6855
Practice Address - Fax:205-926-3293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL141332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009907130Medicaid
AL54645OtherDURABLE MEDICAL EQUIPMENT
AL0403510001Medicare NSC