Organization Name: | ALS MEDICAL, INC. |
NPI Number: | 1578691473 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID R. WHEELER (OWNER) |
Mailing Address: | 11415 S 91st East Ave Bixby |
State: | OK US |
Postal Code: | 740081749 |
Phone Number: | 8005990425 |
Fax Number: | 9183690179 |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 08/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 838300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |