Provider Demographics
NPI:1174242069
Name:ALYVE MEDICAL INC.
Entity type:Organization
Organization Name:ALYVE MEDICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-619-1261
Mailing Address - Street 1:600 S CHERRY ST STE 115
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1792
Mailing Address - Country:US
Mailing Address - Phone:303-586-2444
Mailing Address - Fax:303-586-2600
Practice Address - Street 1:600 S CHERRY ST STE 115
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1792
Practice Address - Country:US
Practice Address - Phone:303-586-2444
Practice Address - Fax:303-586-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies