Provider Demographics
NPI:1720088925
Name:ALPERT'S MEDICAL EQUIPMENT & SUPPLY
Entity Type:Organization
Organization Name:ALPERT'S MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:POLLY-JO
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:BOCO CO
Authorized Official - Phone:304-788-2080
Mailing Address - Street 1:89 W PIEDMONT ST
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-3116
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:89 W PIEDMONT ST
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-3116
Practice Address - Country:US
Practice Address - Phone:304-788-2080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALPERT'S MEDICAL EQUIPMENT & SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-28
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV001974332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0148252001Medicaid
WV0148252000Medicaid
WV0247670002Medicare NSC
WV0148252001Medicaid
WV0148252000Medicaid
MD0247670001Medicare NSC