Healthcare Provider Details

I. General information

NPI: 1548580921
Provider Name (Legal Business Name): INDEPENDENT MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 DECATUR HWY
GARDENDALE AL
35071-2396
US

IV. Provider business mailing address

2330 DECATUR HWY
GARDENDALE AL
35071-2396
US

V. Phone/Fax

Practice location:
  • Phone: 205-631-8915
  • Fax: 205-631-1105
Mailing address:
  • Phone: 205-631-8915
  • Fax: 205-631-1105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL CHAD TRULL
Title or Position: CEO
Credential:
Phone: 205-381-0081