FDC, Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Valley, AL
NPI 1114144292 · NPPES record last updated Jun 20, 2012
Key facts
- NPI
- 1114144292
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 259 (AL)
- Legal business name
- FDC, INC
- Practice address
- 89 Trammell Block
Valley, AL 36854-4903 - Phone
- (334) 756-2305
- Fax
- (334) 756-9142
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Nancy E Martin
- Title
- President
- Phone
- (334) 756-2305
Other NPIs on the same Medicare enrollment 1
Practitioners 1
-
Nancy E Martin, RPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930019067 | AL | DME Supplier - Pharmacy |
0345367272 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Valley, AL |
National Provider Directory
Locations
89 Trammell Block
Valley, AL 36854
Phone (334) 756-2305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 259 | AL | Yes |
Addresses
Primary practice location
89 Trammell Block
Valley, AL 36854-4903
Mailing address
89 Trammell Block
Valley, AL 36854-4903
Phone (334) 756-2305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009943186 | Medicaid | AL |
Other names
- Fairfax Drug Co.
Other providers in Valley, AL
- Etherton Family Dentistry PC
- Carla A Etherton Moore
- Jason Anthony Etherton
- David G Fagan
- FDC Inc
- Heather Laconya Veal Fields
- Mitchel Lewis Galishoff
- Rutilio Garcia
- Wendy Leigh Gray
- Michael Grossman
All providers in Valley, AL · Durable Medical Equipment & Medical Supplies in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.