Active NPI
Alliance Medical Supply,Inc.
- Oxygen Equipment & Supplies (DME)
- Midland, TX
National Provider Identifier
1861716896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0046215
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010067901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryMember of 3
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Pediatric Home Service
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1881288983
Member Of
-
dba Pediatric Home Service
- Nursing Care Agency
- Roseville, MN
- NPI 1285706911
Member Of
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.