Provider Demographics
NPI:1902964257
Name:APPALACHIAN MEDICAL EQUIPMENT CO., INC.
Entity type:Organization
Organization Name:APPALACHIAN MEDICAL EQUIPMENT CO., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FAY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-727-5421
Mailing Address - Street 1:12831 6TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:LILLIAN
Mailing Address - State:AL
Mailing Address - Zip Code:36549
Mailing Address - Country:US
Mailing Address - Phone:251-962-7500
Mailing Address - Fax:251-962-7501
Practice Address - Street 1:12831 6TH AVENUE
Practice Address - Street 2:
Practice Address - City:LILLIAN
Practice Address - State:AL
Practice Address - Zip Code:36549
Practice Address - Country:US
Practice Address - Phone:251-962-7500
Practice Address - Fax:251-962-7501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL714332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies