Organization
EXPRESS HEALTHCARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY TOOLEY BOURGEOIS (ADMINISTRATOR)
(251) 990-9119
Entity
Organization
Contact information
Practice address
1219 N MCKENZIE ST, FOLEY, AL 36535-3552
(251) 943-0707
(251) 943-0706
Mailing address
PO BOX 1982, FAIRHOPE, AL 36533-1982
(251) 943-0707
(251) 943-0706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
010805
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
006283
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-99428
BCBS
AL
Enumeration date
01/14/2010
Last updated
02/13/2023
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