Healthcare Provider Details

I. General information

NPI: 1821895046
Provider Name (Legal Business Name): BATES ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37877 US HIGHWAY 280
SYLACAUGA AL
35150-6714
US

IV. Provider business mailing address

51 HOLLYWOOD BLVD
CHILDERSBURG AL
35044-1064
US

V. Phone/Fax

Practice location:
  • Phone: 205-218-3406
  • Fax:
Mailing address:
  • Phone: 256-378-6118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CARLA BATES
Title or Position: OWNER
Credential:
Phone: 205-441-9608