Provider Demographics
NPI:1134176894
Name:ALL SOUTH SERVICES, INC
Entity type:Organization
Organization Name:ALL SOUTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIFLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-821-2006
Mailing Address - Street 1:PO BOX 4007
Mailing Address - Street 2:1667 SHUG JORDAN PKWY SUITE 403
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36831-4007
Mailing Address - Country:US
Mailing Address - Phone:334-821-2006
Mailing Address - Fax:334-821-2033
Practice Address - Street 1:1667 SHUG JORDAN PKWY
Practice Address - Street 2:SUITE 403
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-821-2006
Practice Address - Fax:334-821-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN2000838740AMedicaid
MS00440957Medicaid
KY9001248500Medicaid
SCDE2926Medicaid
TN4582326OtherTENN CARE
MI4944218Medicaid
AL51098336OtherBCBS PROVIDER ID
GA52882970OtherBCBS PROVIDER ID
IN2000838740AMedicaid
TN4582326OtherTENN CARE