Healthcare Provider Details

I. General information

NPI: 1871555417
Provider Name (Legal Business Name): MASH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 1ST ST N
ALABASTER AL
35007-8771
US

IV. Provider business mailing address

PO BOX 384
ALABASTER AL
35007-2041
US

V. Phone/Fax

Practice location:
  • Phone: 205-664-2059
  • Fax: 205-663-4144
Mailing address:
  • Phone: 205-664-2059
  • Fax: 205-663-4144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number151082
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number500537
License Number StateAL

VIII. Authorized Official

Name: GREGORY HORN
Title or Position: PRES
Credential:
Phone: 205-664-2059