MEDICARE: ALPHA MEDI INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	0043159	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053493510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEDI INC.

Provider Business Mailing Address
First Line	:	3525 PERSHING DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2731
Country	:	US
Telephone Number	:	915-532-9228
Fax Number	:	915-532-4158

Provider Business Practice Location Address
First Line	:	3525 PERSHING DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2731
Country	:	US
Telephone Number	:	915-532-9228
Fax Number	:	915-532-4158

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. YOLANDA HERNANDEZ
Credential	:
Telephone Number	:	915-532-9228

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/30/2007

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Directions to “ALPHA MEDI INC. ” Practice Location

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