Provider Demographics
NPI:1659925998
Name:ALCAM MEDICAL INC
Entity type:Organization
Organization Name:ALCAM MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-782-7000
Mailing Address - Street 1:1760 CHICAGO AVE STE L21
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-2326
Mailing Address - Country:US
Mailing Address - Phone:951-782-7000
Mailing Address - Fax:877-310-1729
Practice Address - Street 1:42402 10TH ST W STE J
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-7056
Practice Address - Country:US
Practice Address - Phone:866-847-7187
Practice Address - Fax:877-310-1730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies