Healthcare Provider Details

I. General information

NPI: 1043220544
Provider Name (Legal Business Name): SAAD MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6450 US HIGHWAY 90 SUITE F
SPANISH FORT AL
36527-9405
US

IV. Provider business mailing address

1515 UNIVERSITY BLVD S
MOBILE AL
36609-2958
US

V. Phone/Fax

Practice location:
  • Phone: 251-626-4558
  • Fax: 251-626-4555
Mailing address:
  • Phone: 251-343-9600
  • Fax: 251-380-3328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number20061754
License Number StateAL

VIII. Authorized Official

Name: MR. HENRY B. FULGHAM
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 251-343-9600