Organization Active NPI

Alliance Medical Supply,Inc.

  • Oxygen Equipment & Supplies (DME)
  • Midland, TX
National Provider Identifier
1861716896
Registry record updated Mar 19, 2010
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
423 Andrews Hwy
Midland, TX 79701-5835
Phone
(432) 620-0319
Fax
(432) 620-0668
NPI assigned
Mar 19, 2010
Last updated
Mar 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Mr. Samuel Darren Berryhill, RRT
Title
President
Phone
(432) 580-0171

Specialties & licenses 1

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

Addresses

Primary practice location

423 Andrews Hwy
Midland, TX 79701-5835

Mailing address

423 Andrews Hwy
Midland, TX 79701-5835
Phone (432) 620-0319

Other identifiers 1

IdentifierTypeStateIssuer
010067901MedicaidTX

National Provider Directory

National Provider Directory

Member of 3

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

Locations

423 Andrews Hwy
Midland, TX 79701
Phone (432) 620-0319

715 E 7th St
Odessa, TX 79761
Phone (432) 337-0136

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1861716896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015835",
            "telephone_number": "432-620-0319",
            "fax_number": "432-620-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 ANDREWS HWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015835",
            "telephone_number": "432-620-0319",
            "fax_number": "432-620-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "BERRYHILL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-580-0171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0046215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.