Healthcare Provider Details

I. General information

NPI: 1861454613
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: 06/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42152 HWY 195 EAST
HALEYVILLE AL
35565
US

IV. Provider business mailing address

PO BOX 789
ALABASTER AL
35007
US

V. Phone/Fax

Practice location:
  • Phone: 205-486-9003
  • Fax: 205-486-2828
Mailing address:
  • Phone: 205-486-9003
  • Fax: 205-486-2828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN W ALVERSON
Title or Position: PRESIDENT
Credential:
Phone: 205-664-2059