Provider Demographics
NPI:1063237535
Name:ALPINE MEDICAL, LLC
Entity type:Organization
Organization Name:ALPINE MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DREW
Authorized Official - Last Name:CULVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-484-4941
Mailing Address - Street 1:9054 BREVET LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-6591
Mailing Address - Country:US
Mailing Address - Phone:804-484-4941
Mailing Address - Fax:888-484-1886
Practice Address - Street 1:9054 BREVET LN
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-6591
Practice Address - Country:US
Practice Address - Phone:540-435-1298
Practice Address - Fax:888-484-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies