Organization
ALPHA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY A PALMER RRT, COF (OWNER)
(865) 966-2371
Entity
Organization
Contact information
Practice address
11226 KINGSTON PIKE, KNOXVILLE, TN 37934-2808
(865) 966-2371
(865) 966-2381
Mailing address
11226 KINGSTON PIKE, KNOXVILLE, TN 37934-2808
(865) 966-2371
(865) 966-2381
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
786
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454175
—
TN
01
—
4019533
BLUE CROSS ID
TN
Enumeration date
10/27/2005
Last updated
08/22/2020
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