MEDICARE: ALPHA MEDICAL SUPPLIES

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	MP00284	NV

General Provider Information

NPI Number	:	1285791251
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	812 E SAHARA AVE
Second Line	:	SUITE 2
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2970
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	812 E SAHARA AVE
Second Line	:	SUITE 2
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2970
Country	:	US
Telephone Number	:	702-737-7090
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. FELIX EGBASE
Credential	:
Telephone Number	:	702-737-7090

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/22/2020

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