Organization
ALPHA ONE MEDICAL
Active
Other names
wheelchairs unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE WISHART (GENERAL MANAGER)
(207) 767-5690
Entity
Organization
Contact information
Practice address
127 MAIN ST, S PORTLAND, ME 04106-2647
(207) 767-5690
(207) 767-5997
Mailing address
127 MAIN ST, S PORTLAND, ME 04106-2647
(207) 767-5690
(207) 767-5997
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
0225081
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00808
ANTHEM BLUE CROSS
ME
05
—
30007903
—
NH
01
—
706197
HARVARD PILGRIM PROVIDER
ME
Enumeration date
09/16/2006
Last updated
08/22/2020
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