Organization
ALPHA CATHETER SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE J BURGESS (OWNER)
(541) 508-8861
Entity
Organization
Contact information
Practice address
2763 NE ALDRICH AVE, BEND, OR 97701-9585
(541) 508-8861
Mailing address
2763 NE ALDRICH AVE, BEND, OR 97701-9585
(541) 508-8861
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
16-00013653
OR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
446199
NAICS
OR
Enumeration date
09/04/2015
Last updated
03/01/2016
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