Healthcare Provider Details

I. General information

NPI: 1134180581
Provider Name (Legal Business Name): DURABLE MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 08/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 ROSS ST
HEFLIN AL
36264-1164
US

IV. Provider business mailing address

978 ROSS ST
HEFLIN AL
36264-1164
US

V. Phone/Fax

Practice location:
  • Phone: 256-463-2412
  • Fax: 256-463-1883
Mailing address:
  • Phone: 256-463-2412
  • Fax: 256-463-1883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberC19509
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: THOMAS E BECKHAM
Title or Position: EXECUTIVE VICE PRESIDENT
Credential: R.PH.
Phone: 256-463-2412