Organization
ALPHA MEDICAL AIDS, INC.
Active
Other names
Alpha Medical Contin-U-Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBBEN C. DEATON (PRESIDENT/ OWNER)
(434) 971-7300
Entity
Organization
Contact information
Practice address
3506 SEMINOLE TRAIL, ROUTE 29, CHARLOTTESVILLE, VA 22911-8665
(434) 971-7300
(434) 971-3739
Mailing address
3506 SEMINOLE TRAIL, ROUTE 29, CHARLOTTESVILLE, VA 22911-8665
(434) 971-7300
(434) 710-4033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009132597
—
VA
05
—
009133054
—
VA
01
—
051686
ANTHEM BCBS PROVIDER #
VA
01
—
123764
SOUTHERN HEALTH PROVIDER
VA
01
—
224574
SOUTHERN HEALTH
VA
01
—
322965
ANTHEM BCBS MEDIGAP #
VA
Enumeration date
11/10/2005
Last updated
10/28/2013
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