MEDICARE: MEDICAL PLACE 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	0001310	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51054095	OTHER	AL	BCBS OF ALABAMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477651313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PLACE INC.

Provider Business Mailing Address
First Line	:	350 INDUSTRIAL PARK BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117
Country	:	US
Telephone Number	:	334-241-0807
Fax Number	:	334-647-3079

Provider Business Practice Location Address
First Line	:	1967 WALNUT ST
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106
Country	:	US
Telephone Number	:	334-262-4283
Fax Number	:	334-264-8635

Authorized Official
Title or Position	:	PRESIDENT, CEO
Name	:	MR. ALFRED SEAWRIGHT
Credential	:
Telephone Number	:	334-241-0807

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	06/04/2019

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Directions to “MEDICAL PLACE INC. ” Practice Location

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