NPIMap

Organization Active NPI

Alliance Medical Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Lubbock, TX
National Provider Identifier
1659718401
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0046215 Issued in TX
Legal business name
ALLIANCE MEDICAL SUPPLY, INC.
Practice address
224 Buddy Holly Ave
Lubbock, TX 79401-1435
Phone
(432) 580-0171
Fax
(432) 580-7686
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Cameo Kae Zehnder
Title
Chief Administrative Officer
Phone
(651) 642-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0046215 TX Primary

Addresses

Primary practice location

224 Buddy Holly Ave
Lubbock, TX 79401-1435

Mailing address

224 Buddy Holly Ave
Lubbock, TX 79401-1435
Phone (432) 580-0171

National Provider Directory

National Provider Directory
Tax ID family
Alliance Medical Supplyinc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

224 Buddy Holly Ave
Lubbock, TX 79401
Phone (432) 580-0171

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1659718401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BUDDY HOLLY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794011435",
            "telephone_number": "432-580-0171",
            "fax_number": "432-580-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BUDDY HOLLY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794011435",
            "telephone_number": "432-580-0171",
            "fax_number": "432-580-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "ZEHNDER",
        "authorized_official_first_name": "CAMEO",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "651-642-1825"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0046215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.