MEDICARE: ALPERT'S MEDICAL EQUIPMENT & SUPPLY

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	001974	WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720088925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPERT'S MEDICAL EQUIPMENT & SUPPLY

Provider Business Mailing Address
First Line	:	89 W PIEDMONT ST
Second Line	:
City	:	KEYSER
State	:	WV
Zip	:	26726-3116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	89 W PIEDMONT ST
Second Line	:
City	:	KEYSER
State	:	WV
Zip	:	26726-3116
Country	:	US
Telephone Number	:	304-788-2080
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. POLLY-JO HIGHTOWER
Credential	:	BOCO CO
Telephone Number	:	304-788-2080

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/06/2007

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Directions to “ALPERT'S MEDICAL EQUIPMENT & SUPPLY ” Practice Location

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