MEDICARE: A&W HOME MEDICAL EQUIPMENT

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		MI

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

General Provider Information

NPI Number	:	1831260512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A&W HOME MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	1416 PINSON ST
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35217-2505
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1416 PINSON ST
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35217-2505
Country	:	US
Telephone Number	:	313-837-0100
Fax Number	:	313-837-3323

Authorized Official
Title or Position	:	CEO
Name	:	WALTER L JOHNSON
Credential	:
Telephone Number	:	313-837-0100

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/22/2020

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Directions to “A&W HOME MEDICAL EQUIPMENT ” Practice Location

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