MEDICARE: SAAD MEDICAL EQUIPMENT, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	20061754	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	515-02128	OTHER	AL	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043220544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAAD MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	1515 UNIVERSITY BLVD S
Second Line	:
City	:	MOBILE
State	:	AL
Zip	:	36609-2958
Country	:	US
Telephone Number	:	251-343-9600
Fax Number	:	251-380-3328

Provider Business Practice Location Address
First Line	:	6450 US HIGHWAY 90
Second Line	:	SUITE F
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-9405
Country	:	US
Telephone Number	:	251-626-4558
Fax Number	:	251-626-4555

Authorized Official
Title or Position	:	CHIEF OPERATIONS OFFICER
Name	:	MR. HENRY B. FULGHAM
Credential	:
Telephone Number	:	251-343-9600

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	08/10/2011

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