Organization
ALLEN MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ALDEN THIBODEAUX OWNER (PRESIDENT)
(337) 948-8611
Entity
Organization
Contact information
Practice address
209 N MARKET ST, OPELOUSAS, LA 70570-5263
(337) 948-8611
(337) 948-6138
Mailing address
PO BOX 2087, OPELOUSAS, LA 70571-2087
(337) 948-8611
(337) 948-6138
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551422
—
LA
Enumeration date
10/06/2006
Last updated
08/22/2020
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