Basic Information
| Provider Information | |||||||||
| NPI: | 1043244916 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | QUALITY PLUS MEDICAL SERVICES, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2369 PELHAM PARKWAY | ||||||||
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| City: | PELHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351244303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059885520 | ||||||||
| FaxNumber: | 2059897986 | ||||||||
| Practice Location | |||||||||
| Address1: | 2369 PELHAM PARKWAY | ||||||||
| Address2: | |||||||||
| City: | PELHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 351244303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059885520 | ||||||||
| FaxNumber: | 2053130398 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 01/18/2012 | ||||||||
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| AuthorizedOfficialLastName: | WADE | ||||||||
| AuthorizedOfficialFirstName: | FRANKIE | ||||||||
| AuthorizedOfficialMiddleName: | LEE | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2059885520 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 000057138 | 05 | AL | MEDICAID | 57138 | 01 | AL | BLUE CROSS BLUE SHIELD | OTHER |