Provider Demographics
NPI:1942607569
Name:ALPHA ORTHOPEDIC CENTER, INC
Entity Type:Organization
Organization Name:ALPHA ORTHOPEDIC CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-296-9566
Mailing Address - Street 1:PO BOX 1566
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-5566
Mailing Address - Country:US
Mailing Address - Phone:205-296-9566
Mailing Address - Fax:
Practice Address - Street 1:3021 LORNA RD
Practice Address - Street 2:SUITE 302
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4587
Practice Address - Country:US
Practice Address - Phone:205-296-9566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-25
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies