Organization Active NPI

Alfa Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Centennial, CO
National Provider Identifier
1497940365
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ALFA MEDICAL SUPPLIES
Practice address
5956 S Helena CT
Centennial, CO 80016-1041
Phone
(303) 680-5056
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Ms. Tatyana Gurevich
Title
Owner
Phone
(303) 680-5056

Specialties & licenses 1

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

Addresses

Primary practice location

5956 S Helena CT
Centennial, CO 80016-1041

Mailing address

5956 S Helena CT
Centennial, CO 80016-1041
Phone (303) 680-5056

Other identifiers 1

IdentifierTypeStateIssuer
92153526MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1497940365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5956 S HELENA CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161041",
            "telephone_number": "303-680-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5956 S HELENA CT",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161041",
            "telephone_number": "303-680-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFA MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "GUREVICH",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-680-5056",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92153526",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.