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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