Provider Demographics
NPI:1184697948
Name:GLOBAL MEDICAL EQUIPMENT AND SUPPLIES
Entity type:Organization
Organization Name:GLOBAL MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PUCKETT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:205-486-6187
Mailing Address - Street 1:2968 NEWBURG RD
Mailing Address - Street 2:
Mailing Address - City:HALEYVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35565-1747
Mailing Address - Country:US
Mailing Address - Phone:205-486-6187
Mailing Address - Fax:205-486-6948
Practice Address - Street 1:2968 NEWBURG RD
Practice Address - Street 2:
Practice Address - City:HALEYVILLE
Practice Address - State:AL
Practice Address - Zip Code:35565-1747
Practice Address - Country:US
Practice Address - Phone:205-486-6187
Practice Address - Fax:205-486-6948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11778332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009951860Medicaid
AL4005810001Medicare ID - Type Unspecified