Organization Active NPI

Triad of Alabama LLC

  • Durable Medical Equipment & Medical Supplies
  • Ozark, AL
National Provider Identifier
1306898549
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1149 Issued in AL
Legal business name
TRIAD OF ALABAMA LLC
Practice address
322 Andrews Ave
Suite 2
Ozark, AL 36360-3810
Phone
(334) 774-4178
NPI assigned
May 16, 2006
Organization subpart
Yes
Parent organization
TRIAD OF ALABAMA LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Debbie Brewer
Title
Director, Provider Enrollment
Phone
(615) 465-7626

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 1149 AL
Durable Medical Equipment & Medical Supplies 332B00000X 1149 AL Primary

Addresses

Primary practice location

322 Andrews Ave
Suite 2
Ozark, AL 36360-3810

Mailing address

PO Box 1964
Dothan, AL 36302-1964
Phone (334) 774-4178

Other identifiers 1

IdentifierTypeStateIssuer
009946155MedicaidAL

Other names 1

  • Breathing Care Associates - Ozark Doing business as

National Provider Directory

National Provider Directory
Part of
Triad of Alabama LLC

Locations

322 Andrews Ave
Ste 2
Ozark, AL 36360
Phone (334) 774-4178

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1306898549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1964",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021964",
            "telephone_number": "334-774-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 ANDREWS AVE",
            "address_2": "SUITE 2",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363603810",
            "telephone_number": "334-774-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD OF ALABAMA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIAD OF ALABAMA LLC",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "AL",
            "license": "1149",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009946155",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathing Care Associates - Ozark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.