Organization Active NPI

Alpha and Omega Medical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rock Island, IL
National Provider Identifier
1295059285
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALPHA AND OMEGA MEDICAL INC.
Practice address
1623 2ND Ave
Suite 300
Rock Island, IL 61201-8643
Phone
(309) 786-8682
Fax
(309) 786-8682
NPI assigned
Mar 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carol U Ayangbile
Title
Owner/Ceo
Phone
(309) 786-8682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1623 2ND Ave
Suite 300
Rock Island, IL 61201-8643

Mailing address

1623 2ND Ave
Suite 300
Rock Island, IL 61201-8643
Phone (309) 786-8682

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1295059285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 2ND AVE",
            "address_2": "SUITE 300",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018643",
            "telephone_number": "309-786-8682",
            "fax_number": "309-786-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 2ND AVE",
            "address_2": "SUITE 300",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018643",
            "telephone_number": "309-786-8682",
            "fax_number": "309-786-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA AND OMEGA MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "AYANGBILE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "309-786-8682"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.