Healthcare Provider Details

I. General information

NPI: 1023315744
Provider Name (Legal Business Name): NATIONAL MEDICAL EUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2253 CONG W L DICKINSON DR
MONTGOMERY AL
36109-2611
US

IV. Provider business mailing address

2253 CONG W L DICKINSON DR
MONTGOMERY AL
36109-2611
US

V. Phone/Fax

Practice location:
  • Phone: 334-420-7501
  • Fax:
Mailing address:
  • Phone: 334-420-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0005628
License Number StateAL

VIII. Authorized Official

Name: CHRISTOPHER THOMAS MASSEY
Title or Position: OWNER
Credential:
Phone: 334-420-7501