Organization Active NPI

Alliance Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Albemarle, NC
National Provider Identifier
1295710366
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00094 Issued in NC
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

Updated by the provider on Aug 10, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7700445MedicaidNC
6800241MedicaidNC
0487QOtherBCBS OF NC PROVIDER NUMBE
3408538MedicaidNC
720137NMedicaidNC
7795170MedicaidNC
6600265MedicaidNC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

Verify at the official NPI Registry.