Organization
ALPHA MEDICAL AIDS, INC.
Active
Parent organization
ALPHA MEDICAL AIDS, INC.
Other names
Alpha Contin-U-Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA MEDICAL AIDS, INC.
Authorized official
EBBEN C DEATON (PRESIDENT/CEO)
(434) 971-7300
Entity
Organization
Contact information
Practice address
1548 JEFFERSON HWY, SUITE 2, FISHERSVILLE, VA 22939-2242
(434) 531-2709
(540) 942-5304
Mailing address
516 PANTOPS CTR, CHARLOTTESVILLE, VA 22911-8665
(434) 971-7300
(434) 971-3739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051686
ANTHEM PROVIDER #
VA
01
—
123764
SOUTHERN HEALTH PROVIDER
VA
01
—
224574
SOUTHERN HEALTH
VA
01
—
322965
ANTHEM MEDIGAP PROVICER #
VA
Enumeration date
05/18/2006
Last updated
08/08/2007
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