Provider Demographics
NPI:1053395475
Name:ALPHA MEDICAL SOLUTIONS INC
Entity type:Organization
Organization Name:ALPHA MEDICAL SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:MBANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-774-7476
Mailing Address - Street 1:3402 BAKER BLVD
Mailing Address - Street 2:STE A-3
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714
Mailing Address - Country:US
Mailing Address - Phone:225-774-7476
Mailing Address - Fax:225-774-7476
Practice Address - Street 1:3402 BAKER BLVD
Practice Address - Street 2:STE A-3
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-2509
Practice Address - Country:US
Practice Address - Phone:225-774-7476
Practice Address - Fax:225-774-7476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1623792Medicaid
LA1623792Medicaid
LA5303770001Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT