NORTHGATE SERVICES OF MISSOURI LLC NPI 1407886732

NPI Information

NPI: 1407886732
Provider Name: NORTHGATE SERVICES OF MISSOURI LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BN1400X
Entity Type: Organization

Specialization: Nursing Facility Supplies

Address:
961 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 345-8858
Get Directions

NORTHGATE SERVICES OF MISSOURI LLC is a nursing facility supplies durable medical equipment medical supplies in Tuscaloosa, AL. NORTHGATE SERVICES OF MISSOURI LLC NPI is 1407886732. The provider is registered as an organization entity type.

The provider's business location address is:

961 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406-805
Phone: (205) 345-8858
Fax: (205) 345-7991

The provider's authorized official is Claude E Lee .
The authorized official title is Vice President Cfo and has the following contact phone number (205) 391-3600.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 10/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	630016343	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1215700001	MEDICARE NSC
2	009926990	MEDICAID	ALABAMA
3	141656741	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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