Provider Demographics
NPI:1841456746
Name:ALTERNATIVE MEDICAL SUPPLIES LLC
Entity type:Organization
Organization Name:ALTERNATIVE MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTEGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-451-4000
Mailing Address - Street 1:678 FRONT AVE NW
Mailing Address - Street 2:SUITE 135
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5325
Mailing Address - Country:US
Mailing Address - Phone:606-451-4000
Mailing Address - Fax:
Practice Address - Street 1:678 FRONT AVE NW
Practice Address - Street 2:SUITE 135
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-5325
Practice Address - Country:US
Practice Address - Phone:606-451-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2009-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies