Provider Demographics
NPI:1770874760
Name:ALPHAFLO, INC.
Entity type:Organization
Organization Name:ALPHAFLO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALICE
Authorized Official - Last Name:HISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-245-2446
Mailing Address - Street 1:28786 COUNTY ROAD 50
Mailing Address - Street 2:
Mailing Address - City:BOVEY
Mailing Address - State:MN
Mailing Address - Zip Code:55709-5576
Mailing Address - Country:US
Mailing Address - Phone:218-245-2446
Mailing Address - Fax:218-245-2802
Practice Address - Street 1:28786 COUNTY ROAD 50
Practice Address - Street 2:
Practice Address - City:BOVEY
Practice Address - State:MN
Practice Address - Zip Code:55709-5576
Practice Address - Country:US
Practice Address - Phone:218-245-2446
Practice Address - Fax:218-245-2802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment