Provider Demographics
NPI:1982768784
Name:A-1 MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:A-1 MEDICAL SUPPLY LLC
Other - Org Name:A-1 MEDICAL SUPPLY COMPANY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-742-9802
Mailing Address - Street 1:2014 REGENT CIR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5160
Mailing Address - Country:US
Mailing Address - Phone:318-742-9802
Mailing Address - Fax:318-752-0668
Practice Address - Street 1:2014 REGENT CIR
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5160
Practice Address - Country:US
Practice Address - Phone:318-742-9802
Practice Address - Fax:318-752-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies