Provider Demographics
NPI:1801886882
Name:A & E MEDICAL INC
Entity type:Organization
Organization Name:A & E MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDDINS
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:256-764-6633
Mailing Address - Street 1:PO BOX 1332
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35631-1332
Mailing Address - Country:US
Mailing Address - Phone:256-764-6633
Mailing Address - Fax:256-764-7873
Practice Address - Street 1:235 AZALEA DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-1741
Practice Address - Country:US
Practice Address - Phone:256-764-6633
Practice Address - Fax:256-764-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL78431332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0966120002Medicare NSC