Active NPI
Alliance Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Albemarle, NC
National Provider Identifier
1295710366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 00094
- Legal business name
- ALLIANCE MEDICAL, INC.
- Practice address
- 907 N 2ND St
Albemarle, NC 28001-3317 - Phone
- (704) 983-5644
- Fax
- (704) 982-2313
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alfred P. Taylor
- Title
- President
- Phone
- (704) 984-4347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 00094 | NC | Primary |
Addresses
Primary practice location
907 N 2ND St
Albemarle, NC 28001-3317
Mailing address
907 N 2ND St
Albemarle, NC 28001-3317
Phone (704) 983-5644
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7700445 | Medicaid | NC | |
| 6800241 | Medicaid | NC | |
| 0487Q | Other | BCBS OF NC PROVIDER NUMBE | |
| 3408538 | Medicaid | NC | |
| 720137N | Medicaid | NC | |
| 7795170 | Medicaid | NC | |
| 6600265 | Medicaid | NC |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Member Of
Locations
907 N 2nd St
Albemarle, NC 28001
Phone (704) 982-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439164800000",
"number": "1295710366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013317",
"telephone_number": "704-983-5644",
"fax_number": "704-982-2313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 N 2ND ST",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013317",
"telephone_number": "704-983-5644",
"fax_number": "704-982-2313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2015-08-10",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "ALFRED",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-984-4347",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "00094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7700445",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6800241",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC PROVIDER NUMBE",
"identifier": "0487Q",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408538",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "720137N",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795170",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600265",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.