Alpine Home Medical Equipment, LLC

Organization Active NPI Oxygen Equipment & Supplies (DME) · Price, UT

NPI 1821458324 · NPPES record last updated Jul 1, 2016

Key facts

NPI
1821458324
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
ALPINE HOME MEDICAL EQUIPMENT, LLC
Practice address
451 S Carbon Ave
Price, UT 84501-3226
Phone
(435) 994-3062
NPI assigned
Feb 26, 2016
Organization subpart
No

Authorized official

Name
Jay Broadbent
Title
Owner
Phone
(801) 590-2703

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Alpine Home Medical Equipment
451 S Carbon Ave, Price, UT 84501-3226 · (435) 994-3062
Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Patient Lifts|Power Operated Vehicles (Scooters)|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelcha… Does not accept assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210208001532 UT DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Oxygen & Equipment
9830210863 Practice locations: Price, UT

National Provider Directory

Tax ID family
Alpine Home Medical Equipment LLC (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

451 S Carbon Ave
Price, UT 84501-3226

Mailing address

132 E 13065 S
Ste 200
Draper, UT 84020-8618

Other providers in Price, UT

All providers in Price, UT · Oxygen Equipment & Supplies (DME) in Utah

Sources for this page

Verify at the official NPI Registry.