Organization Name: | ALPINE HOME MEDICAL EQUIPMENT LLC |
NPI Number: | 1023297926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY BROADBENT (OWNER) |
Mailing Address: | 42 S River Rd No 10 St George |
State: | UT US |
Postal Code: | 847902139 |
Phone Number: | 4356740080 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2007 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 6142158-1714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |