Organization
VIKING MEDICAL SUPPLY INC
Active
Organization
VIKING MEDICAL SUPPLY INC
Active
Other names
Viking Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONNIE BLAKE DORCEY COF, RPT (OWNER/PRESIDENT)
(205) 631-8915
Entity
Organization
Contact information
Practice address
1201 3RD AVE N, BIRMINGHAM, AL 35203-1628
(205) 631-8915
(205) 278-6900
Mailing address
PO BOX 550309, BIRMINGHAM, AL 35255-0309
(205) 631-8915
(205) 278-6900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
312
AL
335E00000X
Prosthetic/Orthotic Supplier
128
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51093833VIK
BCBS
AL
Enumeration date
08/20/2006
Last updated
09/02/2020
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