Provider Demographics
NPI:1437152212
Name:NEWMANS MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:NEWMANS MEDICAL SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-471-1541
Mailing Address - Street 1:3500 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-6589
Mailing Address - Country:US
Mailing Address - Phone:251-471-1541
Mailing Address - Fax:251-602-6110
Practice Address - Street 1:3500 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-6589
Practice Address - Country:US
Practice Address - Phone:251-471-1541
Practice Address - Fax:251-602-6110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51050008OtherBCBS OF ALABAMA
AL590005729OtherRAILROAD MEDICARE
AL200049101Medicaid
AL590005729OtherRAILROAD MEDICARE