Healthcare Provider Details

I. General information

NPI: 1669552329
Provider Name (Legal Business Name): STRATUS ORTHOPEDIC SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 LORNA SQ STE 310
HOOVER AL
35216-5479
US

IV. Provider business mailing address

310 LORNA SQ STE 310
HOOVER AL
35216-5479
US

V. Phone/Fax

Practice location:
  • Phone: 205-822-2400
  • Fax: 205-822-5710
Mailing address:
  • Phone: 205-822-2400
  • Fax: 205-822-5710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number604
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JOHN CHRISTOPHER QUILLEN
Title or Position: OWNER
Credential:
Phone: 205-822-2400