Provider Demographics
NPI:1295876696
Name:ALEXCO ASSOCIATES, INC.
Entity type:Organization
Organization Name:ALEXCO ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-376-7604
Mailing Address - Street 1:11181 HIDDEN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CEDARBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53012-8920
Mailing Address - Country:US
Mailing Address - Phone:262-376-7604
Mailing Address - Fax:262-376-7605
Practice Address - Street 1:11181 HIDDEN VALLEY DR
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-8920
Practice Address - Country:US
Practice Address - Phone:262-376-7604
Practice Address - Fax:262-376-7605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI41698300Medicaid
WI1189500001Medicare NSC