Organization
MEDICO,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OVENIA F. HOWARD (PART OWNER)
(205) 646-2864
Entity
Organization
Contact information
Practice address
804 7TH ST N STE C, CLANTON, AL 35045-2870
(205) 280-3700
(205) 280-3777
Mailing address
804 7TH ST N STE C, CLANTON, AL 35045-2870
(205) 280-3700
(205) 280-3777
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
194
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030030
—
AL
01
—
510-30030
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/21/2006
Last updated
11/22/2022
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