Alamo City Durable Medical Equipment, LLC

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

ALAMO CITY DURABLE MEDICAL EQUIPMENT, LLC

Doing business as

Alliance Medical Supply

Practice address

10643 Sentinel St
San Antonio, TX 78217-3811

Phone

(210) 829-5900

Fax

(210) 829-3760

NPI assigned

Nov 4, 2013

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Lynn Holstead

Title

Director of Operations

Phone

(210) 737-2444

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Alliance Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1912336611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10643 SENTINEL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173811",
            "telephone_number": "210-829-5900",
            "fax_number": "210-829-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10643 SENTINEL ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173811",
            "telephone_number": "210-829-5900",
            "fax_number": "210-829-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CITY DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "HOLSTEAD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "210-737-2444"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357136601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Parenteral & Enteral Nutrition Supplies (DME) in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.