Provider Demographics
NPI:1003154204
Name:MEDPOINT ADVANTAGE, LLC
Entity type:Organization
Organization Name:MEDPOINT ADVANTAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GENEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-781-3400
Mailing Address - Street 1:1678 MONTGOMERY HWY STE 104
Mailing Address - Street 2:SUITE 344
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4900
Mailing Address - Country:US
Mailing Address - Phone:205-781-3400
Mailing Address - Fax:
Practice Address - Street 1:1678 MONTGOMERY HWY STE 104
Practice Address - Street 2:SUITE 344
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4900
Practice Address - Country:US
Practice Address - Phone:205-781-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies